A nurse is caring for a client in the preoperative holding area.
For each preoperative assessment finding, click to specify if the assessment finding places the client at risk for hypoxemia, bleeding, or a DVT in the intra- op or post-op phases.
Platelet count
Hemoglobin
International normalized ration
Atrial fibrillation
Red blood cell count
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"D"},"E":{"answers":"A"}}
Platelet count: Low platelets (135,000/mm³) increase bleeding risk as they are essential for clot formation.
Hemoglobin: A hemoglobin level within the low normal range could increase the risk of hypoxemia, particularly in the perioperative period when oxygen demand may be higher.
INR: Elevated INR (1.5) indicates increased bleeding risk due to prolonged clotting time.
Atrial fibrillation: Increases the risk of DVT due to irregular heart rhythms, which can lead to blood pooling and clot formation.
RBC count: A low RBC count contributes to the risk of hypoxemia as there are fewer red blood cells available to transport oxygen.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. While excessive strenuous exercise can potentially worsen symptoms, regular moderate exercise is generally beneficial for clients with SLE, helping maintain joint flexibility and muscle strength.
B. Infections can exacerbate SLE symptoms and lead to flares due to immune system involvement.
C. Pregnancy can also exacerbate SLE due to hormonal changes affecting the immune system.
D. Sunlight is known to trigger flares in SLE due to photosensitivity.
Correct Answer is A
Explanation
A. A comminuted fracture is characterized by the bone being splintered or crushed into multiple fragments, as seen in this client’s x-ray.
B. A transverse fracture is a straight horizontal break across the bone.
C. An impacted fracture occurs when bone fragments are driven into each other.
D. An oblique fracture has a diagonal break across the bone but does not involve multiple splinters.
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