A nurse is reviewing the medical history of a client who is scheduled for surgery.
Which of the following findings places the client at risk for an incisional hematoma?

The client has peripheral vascular disease.

The client has urinary incontinence.

The client takes anticoagulant medications.

The client is underweight.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Peripheral vascular disease does not directly place the client at a higher risk for an incisional hematoma. While it is a vascular condition, the use of anticoagulant medications is a more significant risk factor for bleeding complications.

Choice B rationale:

Urinary incontinence is not directly related to an increased risk of incisional hematoma. Incontinence is a separate issue and does not influence surgical outcomes in the context of hematoma formation.

Choice C rationale:

Taking anticoagulant medications is a significant risk factor for incisional hematoma. Anticoagulants reduce the blood's ability to clot, which can lead to excessive bleeding at the surgical site and the formation of hematomas.

Choice D rationale:

Being underweight is not a primary risk factor for incisional hematoma. While poor nutrition and overall health can influence wound healing, anticoagulant use is a more direct concern for hematoma formation in surgical patients.

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Correct Answer is A

Explanation

A. Allow extra time to communicate with the client. B. Finish sentences for the client. C. Avoid using visual aids for communication. D. Ask open-ended questions.

Correct Answer is A

Explanation

Choice A rationale:

Allowing extra time to communicate with the client is a crucial action when caring for a client with impaired speech. This approach respects the client's autonomy and ensures that they have the time they need to express themselves. It is an appropriate and compassionate response to the client's condition.

Choice B rationale:

Finishing sentences for the client is not recommended because it interferes with the client's ability to communicate independently. It does not respect the client's autonomy and may lead to frustration.

Choice C rationale:

Avoiding the use of visual aids for communication is not a best practice, especially for clients with impaired speech. Visual aids can enhance communication and should be used when appropriate.

Choice D rationale:

Asking open-ended questions is a good communication strategy, but it is not the first action to take. Allowing extra time for communication should be the initial step when caring for a client with impaired speech.

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A nurse is reviewing the medical history of a client who is scheduled for surgery.Which of the following findings places the client at risk for an incisional hematoma?

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A nurse is reviewing the medical history of a client who is scheduled for surgery.
Which of the following findings places the client at risk for an incisional hematoma?