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

Glucose level 75 mg/dL

Fractured ankle

BMI 24

Obstructive sleep apnea

Answer and Explanation

The Correct Answer is D

A. Glucose level 75 mg/dL

This glucose level is normal and does not increase postoperative risk.

B. Fractured ankle

While this may be the reason for surgery, it does not directly increase postoperative systemic complications.

C. BMI 24

A BMI of 24 is within normal limits and not associated with elevated surgical risk.

D. Obstructive sleep apnea

OSA increases the risk for respiratory depression, hypoxemia, and airway obstruction postoperatively, especially with opioid use and anesthesia.

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Correct Answer is D

Explanation

A. Regional anesthesia:

Regional anesthesia is used to numb a larger area (like for cesarean section or orthopedic surgery), not typically used for colonoscopy.

B. General anesthesia:

General anesthesia involves complete unconsciousness and is not usually needed for routine colonoscopy unless medically indicated.

C. Local anesthesia:

Local anesthesia numbs a small, specific area, but does not provide the sedation and relaxation needed for a colonoscopy.

D. Moderate sedation:

Colonoscopy is usually performed with moderate (conscious) sedation to keep the client comfortable, relaxed, and responsive to verbal stimuli.

A. Shave all of the client's hair B. Scrub the surgical site starting at the outer edge and moving inward. C. Use a new cleansing wipe for each part of the body when preparing the patient for the surgery. D. Cleanse the surgical site with a povidone-iodine solution

Correct Answer is D

Explanation

A. Shave all of the client's hair:

Shaving can cause micro abrasions, increasing the risk of infection. Clipping, not shaving, is preferred.

B. Scrub the surgical site starting at the outer edge and moving inward:

The proper technique is to start at the center (incision site) and move outward in a circular motion to prevent contamination.

C. Use a new cleansing wipe for each part of the body when preparing the patient for the surgery:

This is generally not required unless performing a full-body antiseptic bath. For site-specific prep, a single-use applicator or swab is used per site.

D. Cleanse the surgical site with a povidone-iodine solution:

Povidone-iodine is a broad-spectrum antiseptic used to reduce microbial load at the surgical site.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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