A nurse is caring for a patient who is scheduled for a surgical procedure. The nurse is reviewing the patient’s electronic medical record.
Which of the following findings places the patient at risk for a surgical complication? Select all that apply.

Glucose level

Metformin

Smoking history

WBC count

Type 2 diabetes mellitus.

Answer and Explanation

Correct Answer : A,B,C,D,E

Choice A rationale
High glucose levels can indicate uncontrolled diabetes, which can increase the risk of surgical complications such as infection and poor wound healing.
Choice B rationale
Metformin is a medication used to treat type 2 diabetes. It can increase the risk of lactic acidosis, especially in patients undergoing procedures that involve the use of contrast dye.
Choice C rationale
A history of smoking can increase the risk of surgical complications, including poor wound healing, infection, and lung problems.
Choice D rationale
An elevated white blood cell (WBC) count can indicate an infection or inflammation in the body, which can increase the risk of surgical complications.
Choice E rationale
Type 2 diabetes mellitus can increase the risk of surgical complications, including infection, poor wound healing, and cardiovascular complications.

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Correct Answer is A

Explanation

Choice A rationale
Eating food that is either very warm or very cold can trigger pain in individuals with trigeminal neuralgia. Therefore, if a client made this statement, it would indicate the need for further teaching.
Choice B rationale
Chewing on the unaffected side can help minimize episodes of pain in trigeminal neuralgia.
Choice C rationale
Rinsing the mouth if tooth brushing is too painful is a good strategy for managing trigeminal neuralgia.
Choice D rationale
Washing the face with cotton pads can help minimize episodes of pain in trigeminal neuralgia.

A. Wrist fracture B. Burn injury C. Financial difficulties D. Hypothermia

Correct Answer is C

Explanation

Choice A rationale
A wrist fracture is a physical stressor, not a psychological one. It involves damage to the body’s structures.
Choice B rationale
A burn injury, like a wrist fracture, is a physical stressor. It involves physical harm to the body.
Choice C rationale
Financial difficulties are a type of psychological stressor. They involve challenges and worries related to money, which can cause mental and emotional stress.
Choice D rationale
Hypothermia is a physical stressor. It involves a dangerously low body temperature and is a medical emergency.

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A nurse is caring for a patient who is scheduled for a surgical procedure. The nurse is reviewing the patient’s electronic medical record. Which of the following findings places the patient at risk for a surgical complication? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with trigeminal neuralgia has been given suggestions to minimize episodes of pain. Which statement, if made by the client, would indicate the need for further teaching?

Correct Answer is A

Explanation

A nurse is teaching a class about sources of stress. The nurse should include that which of the following is an example of a psychological stressor?

Correct Answer is C

Explanation

A nurse is preparing to reposition a patient. Which of the following actions should the nurse take first?

In the context of outpatient care for a client diagnosed with Bell’s palsy, which of the following statements, if made by the client, would indicate the need for further education?

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A nurse overhears two assistive personnel (APs) disagreeing about patient care assignments. Which of the following actions by the nurse demonstrates conflict resolution?

a nurse is providing care for a patient who reports experiencing flashbacks of a traumatic event that occurred a year ago. Which of the following stress-related disorders should the nurse identify that the patient is experiencing?

A client is newly diagnosed with relapsing-remitting multiple sclerosis (RRMS). What instruction should the nurse provide?

A nurse is planning care for a patient who is immobile and is experiencing urinary retention. The nurse should plan to monitor the patient for which of the following?

A nurse is caring for a patient who is scheduled for a surgical procedure. The nurse is reviewing the patient’s electronic medical record.
Which of the following findings places the patient at risk for a surgical complication? Select all that apply.