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. Rinse the client's mouth before collecting the specimen:
Rinsing helps reduce contamination from saliva and food particles, ensuring a more accurate sputum sample.
B. Obtain the specimen from the client in the evening:
The best time is early morning, when secretions have accumulated overnight.
C. Save the sputum specimen in a clean container:
A sterile container is required for sputum collection to avoid contamination.
D. Collect the sputum specimen after a meal:
Collecting after a meal increases the risk of vomiting or aspiration. Specimen should be collected before meals.
Correct Answer is D
Explanation
A. Metallic taste in mouth:
This is not a typical sign of oxygen toxicity. A metallic taste may be associated with certain medications or exposure to metals.
B. Facial flushing:
Not a characteristic symptom of oxygen toxicity. Facial flushing is more commonly linked to fever or certain medication reactions.
C. Periorbital edema:
Swelling around the eyes may suggest fluid overload or renal issues, not oxygen toxicity.
D. Muscle twitching:
Oxygen toxicity can affect the central nervous system, leading to signs such as muscle twitching, seizures, and vision changes.
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