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

Answer and Explanation

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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Correct Answer is A

Explanation

A. Returning the client to the bed is the safest action when the client appears weak and unsteady upon standing. This helps prevent a potential fall or injury. Once the client is safely back in bed, the nurse can reassess and consider other options for mobility support.
B. Using the call bell may take time and does not ensure the client’s immediate safety, which is the priority in this moment.
C. Placing the client into the wheelchair while they are unsteady poses a high risk for falls or injury.
D. Allowing the client to continue standing may worsen the situation if they are already weak, increasing the risk of collapse or injury.

A. faith B. spirituality C. hope D. charity

Correct Answer is A

Explanation

A. Faith involves trust or confidence in a person, idea, or system, such as a traditional healer.
B. Spirituality is a broader concept related to a sense of connection or meaning, not specifically confidence in a healer.
C. Hope refers to a positive expectation for the future, not necessarily linked to confidence in a particular person.
D. Charity involves giving or kindness, which is not relevant to the client’s expression of confidence.

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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?

Nursing Test Bank

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