An older adult client with poor nutritional intake is demonstrating signs of poor wound healing.Which actions by the nurse are appropriate? Select all that apply.
A) Ensure an adequate fluid intake.
B) Assist with deep-breathing exercises.
C) Medicate for pain prior to dressing changes.
D) Request a dietary consult for nutritional support.
E) Encourage ambulation.

Question

Quizplus · Accepted Answer

A) The nurse should ensure that the client receives sufficient protein and vitamins to support wound healing. The nurse should consult with a dietitian to determine ways to improve the client's intake to support wound healing. The client also needs an adequate fluid intake for wound healing. Deep-breathing exercises and ambulation may or may not help the client at this time. Medicating for pain prior to dressing changes is not going to help with wound healing.
B) The nurse should ensure that the client receives sufficient protein and vitamins to support wound healing. The nurse should consult with a dietitian to determine ways to improve the client's intake to support wound healing. The client also needs an adequate fluid intake for wound healing. Deep-breathing exercises and ambulation may or may not help the client at this time. Medicating for pain prior to dressing changes is not going to help with wound healing.
C) The nurse should ensure that the client receives sufficient protein and vitamins to support wound healing. The nurse should consult with a dietitian to determine ways to improve the client's intake to support wound healing. The client also needs an adequate fluid intake for wound healing. Deep-breathing exercises and ambulation may or may not help the client at this time. Medicating for pain prior to dressing changes is not going to help with wound healing.
D) The nurse should ensure that the client receives sufficient protein and vitamins to support wound healing. The nurse should consult with a dietitian to determine ways to improve the client's intake to support wound healing. The client also needs an adequate fluid intake for wound healing. Deep-breathing exercises and ambulation may or may not help the client at this time. Medicating for pain prior to dressing changes is not going to help with wound healing.
E) The nurse should ensure that the client receives sufficient protein and vitamins to support wound healing. The nurse should consult with a dietitian to determine ways to improve the client's intake to support wound healing. The client also needs an adequate fluid intake for wound healing. Deep-breathing exercises and ambulation may or may not help the client at this time. Medicating for pain prior to dressing changes is not going to help with wound healing.

An Older Adult Client with Poor Nutritional Intake Is Demonstrating