Practice Quiz

NCLEX-RN

Category - Physiological

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A nurse is reviewing the charts of four clients who are admitted to the unit. Based on the medical records, the nurse determines which client to have the greatest risk for delayed wound healing?
  1. A 16-year-old male with diabetes mellitus type 1 who is scheduled for a tibial fracture surgery
  2. An 80-year-old male who is scheduled for total hip replacement
  3. A 35-year-old male with thromboangitis obliterans who is scheduled for a toe amputation
  4. A 17-year-old male who is scheduled for an appendectomy
Explanation
Answer: C - The 35-year-old male who is scheduled for toe amputation has the greatest risk for delayed wound healing. The client has thromboangitis obliterans, a peripheral arterial disease caused by an inflammatory occlusive vascular condition. The client has a vascular problem, which is supported by the scheduled amputation. Although the client in Option A may have difficulty with wound healing, the client scheduled for amputation has the greatest risk. The elderly patient does not have the greatest risk as no disease underlies the surgery scheduled.
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