A client is being discharged with a large wound on the right ankle that has cellulitis. The client is obese, smokes 2 packs of cigarettes a day, and is sedentary. In the discharge instructions, which lifestyle modification would be most important for the nurse to include? The client should
A) drink more water.
B) lose weight.
C) start an exercise routine.
D) stop smoking.

Question

Quizplus · Accepted Answer

Of the many factors that promote or retard angiogenesis and wound healing, one of the most important is adequate oxygenation. Smoking causes vasoconstriction and hypoxia because of the carbon monoxide in the smoke. Clients with cellulitis need a high-calorie, high-protein, high-carbohydrate diet rich in vitamins and nutrients. This is no time for the client to begin a weight loss program. Drinking plenty of water would be good for this client, but will not have as dramatic effect on wound healing as stopping smoking will.

A Client Is Being Discharged with a Large Wound on the Right