A preoperative assessment finds a client to be 75 lb (34 kg) overweight. The client is to have abdominal surgery. What nursing concern will be used for care planning based on the client's weight?
infection risk
altered body temperature risk
aspiration risk
falls risk
The Correct Answer is A
A. Infection risk is the most relevant concern for an overweight client undergoing abdominal surgery. Excess adipose tissue can impair wound healing, increase the risk of dehiscence, and create an environment more prone to infection.
B. Altered body temperature is not commonly associated with being overweight in the surgical context.
C. Aspiration risk is more directly related to factors like sedation, anesthesia, or swallowing issues, not primarily to excess weight.
D. While there may be some increased risk of falls in overweight individuals, infection is the most immediate and surgery-specific concern for care planning in this context.
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Related Questions
Correct Answer is C
Explanation
A. The nurse manager is not responsible for obtaining informed consent.
B. Nurses cannot obtain informed consent for procedures; this is the provider’s responsibility.
C. It is the health care provider’s legal and ethical responsibility to obtain informed consent from the client.
D. Calling the house officer may delay care and is not appropriate if the provider performing the procedure is available.
Correct Answer is D
Explanation
A. High-calorie, high-protein supplements are typically not clear liquids and may be too heavy.
B. Hot cereals and ice cream are not clear liquids; chocolate milk is opaque.
C. Milk and egg substitutes are opaque and not part of a clear liquid diet.
D. Gelatin desserts, carbonated beverages, and apple juice are clear liquids that are transparent and allowed on a clear liquid diet.
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