The nurse is reviewing the client's electronic medical record. Which of the following findings places the client at risk for a surgical complication? Select all that apply.
WBC count of 2000
Type 2 diabetes mellitus
Exercises 4s each week
Prednisone
Smoking history
Correct Answer : A,B,D,E
A. WBC count of 2000:
A low WBC count indicates leukopenia, which increases the risk of infection postoperatively.
B. Type 2 diabetes mellitus:
Diabetes is associated with impaired wound healing and increased risk for infection and poor surgical outcomes.
C. Exercises 4x each week:
Regular exercise improves cardiovascular health and reduces surgical risk.
D. Prednisone:
Chronic steroid use like prednisone can impair immune response and delay wound healing.
E. Smoking history:
Smoking decreases oxygenation and circulation, impairing healing and increasing the risk for respiratory complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Severity:
Asking the client to rate their pain on a scale is assessing the severity of the pain.
B. Precipitating cause:
Precipitating cause refers to what triggers the pain, such as movement or stress.
C. Quality:
Quality describes what the pain feels like, such as burning, stabbing, or aching.
D. Region:
Region refers to the location of the pain on the body.
Correct Answer is C
Explanation
A. To discuss post-operative care instructions with the patient:
Postoperative care discussions typically occur after surgery, not during a time out.
B. To update the patient's medical record:
While documentation is important, the time out is not for record-keeping but for patient safety.
C. To ensure that the correct procedure is being performed on the correct patient:
A surgical time out is a critical safety protocol done immediately before surgery to verify the patient’s identity, the procedure, and the surgical site, helping to prevent wrong-site or wrong-person surgery.
D. To provide the surgical team with a break:
The time out is a focused safety measure, not a rest period.
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