A nurse on a medical-surgical unit is caring for four patients who are 24 to 36 hours postoperative. Which of the following surgical procedures places the patient at risk for deep-vein thrombosis?

Hip arthroplasty

Cataract extraction

Myringotomy

Laparoscopic appendectomy

Answer and Explanation

The Correct Answer is A

Choice A rationale
Hip arthroplasty, or hip replacement surgery, is a procedure that has been associated with a higher risk of deep vein thrombosis (DVT)8910. This is due to factors such as the length of the

procedure, the immobility of the patient during and after the procedure, and the location of the surgery in the lower extremities.
Choice B rationale
Cataract extraction is not typically associated with a high risk of DVT8910. This is a relatively quick and minimally invasive procedure, and it does not involve the lower extremities, which are the most common sites for DVT8910.
Choice C rationale
Myringotomy, a procedure to drain fluid from the middle ear, is not associated with a high risk of DVT8910. This is a quick and minimally invasive procedure, and it does not involve the lower extremities.
Choice D rationale
Laparoscopic appendectomy, while a surgical procedure, is not typically associated with a high risk of DVT8910. The risk of DVT is generally lower with laparoscopic procedures compared to open surgeries.

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Correct Answer is B

Explanation

Choice A rationale

A blood pressure of 102/66 mm Hg is within the normal range and would not typically need to be reported to the provider.
Choice B rationale
Yellow-green drainage on the surgical incision could be a sign of a wound infection. Infections after surgery can lead to serious complications and should be reported to the provider immediately.
Choice C rationale
A respiratory rate of 18/min is within the normal range and would not typically need to be reported to the provider.
Choice D rationale
Straw-colored urine from an indwelling urinary catheter is normal and would not typically need to be reported to the provider.

A. Fluid retention B. Impaired skin integrity C. Pathologic fractures D. Dysphagia

Correct Answer is C

Explanation

Choice A rationale
Fluid retention is not typically associated with hyperparathyroidism. Hyperparathyroidism is a condition in which the parathyroid glands produce too much parathyroid hormone, leading to high levels of calcium in the blood.
Choice B rationale
Impaired skin integrity is not typically associated with hyperparathyroidism.
Choice C rationale
Pathologic fractures are a potential complication of hyperparathyroidism. The condition can lead to osteoporosis due to loss of calcium from the bones, increasing the risk of fractures.
Choice D rationale
Dysphagia, or difficulty swallowing, is not typically associated with hyperparathyroidism.

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A nurse on a medical-surgical unit is caring for four patients who are 24 to 36 hours postoperative. Which of the following surgical procedures places the patient at risk for deep-vein thrombosis?

Nursing Test Bank

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