A nurse is reviewing the medical history of a patient who is preoperative for surgery. Which of the following findings places the patient at risk for a postoperative complication?

Obstructive sleep apnea

Glucose level 75 mg/dL

BMI 24

Increased anxiety

Answer and Explanation

The Correct Answer is A

Choice A reason: Obstructive sleep apnea can increase the risk of postoperative complications due to potential breathing problems and the eﬀects of anesthesia.

Choice B reason: A glucose level of 75 mg/dL is within the normal fasting range (70-99 mg/dL) and does not typically place a patient at increased risk for postoperative complications.

Choice C reason: A BMI of 24 falls within the normal weight range (18.5-24.9) and is not considered a risk factor for postoperative complications.

Choice D reason: While increased anxiety can aﬀect a patient's experience, it is not a direct risk factor for postoperative complications like obstructive sleep apnea is.

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Correct Answer is B

Explanation

The correct answer is choice B. Raise the head of the bed.

Choice A rationale:

Increasing the patient’s oral fluid intake is important for hydration and thinning secretions, but it is not the immediate priority when oxygen saturation is critically low.

Choice B rationale:

Raising the head of the bed helps improve lung expansion and facilitates easier breathing, which can quickly improve oxygen saturation levels. This is a critical first step in managing low oxygen saturation.

Choice C rationale:

Initiating humidified oxygen therapy is essential for improving oxygenation, but it should follow the immediate action of raising the head of the bed to optimize breathing.

Choice D rationale:

Encouraging the patient to cough and deep breathe is beneficial for clearing secretions and improving lung function, but it is not the first action to take when oxygen saturation is critically low.

A. Poor nutritional status B. Medication administration C. Obesity D. Nonadherence E. Increased metabolic rate

Correct Answer is A

Explanation

Choice A reason: Poor nutritional status can impair wound healing and increase the risk of wound dehiscence.

Choice B reason: Medication administration is too vague to determine a risk for dehiscence without specifying the type of medication.

Choice C reason: Obesity can increase the risk of dehiscence due to the strain on the wound from excess tissue.

Choice D reason: Nonadherence could contribute to dehiscence if it refers to not following postoperative care instructions, but it is not specific enough in this context.

Choice E reason: An increased metabolic rate can lead to higher demands on the body's healing process, potentially aﬀecting wound integrity.

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A nurse is reviewing the medical history of a patient who is preoperative for surgery. Which of the following findings places the patient at risk for a postoperative complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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