Which of the following factors is NOT associated with a higher risk of post-surgical complications in obese patients?
Higher risk of respiratory complications due to decreased lung function
Increased risk of cardiovascular events due to strain on the heart
Increased risk of infection due to impaired wound healing
Decreased risk of blood clots due to improved circulation
The Correct Answer is D
A. Obese patients often have decreased lung function due to reduced chest wall compliance and increased abdominal pressure, which can impair respiratory mechanics. This leads to a higher risk of respiratory complications such as hypoventilation, atelectasis, and pneumonia post-surgery.
B. Obesity places additional strain on the cardiovascular system, increasing the risk of cardiovascular events like hypertension, heart attack, and stroke. This strain is compounded during surgery due to increased cardiac workload and potential fluid shifts.
C. Obesity impairs wound healing due to several factors, including decreased oxygenation to tissues, impaired immune function, and increased adipose tissue which can create a moist environment conducive to infection. This increases the risk of postoperative infections.
D. In fact, obesity is associated with an increased risk of blood clots (venous thromboembolism) due to reduced mobility, chronic inflammation, and altered coagulation factors. Obesity does not improve circulation; rather, it often exacerbates venous stasis and clot formation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Slow and steady bubbling in the suction control chamber is expected and indicates that the system is functioning properly. It is designed to regulate the pressure within the chest cavity by allowing excess air and fluid to escape, ensuring that the lungs can re-expand properly
B. Checking for leaks is are unnecessary as the system is functioning as expected.
C. Checking the suction control outlet is are unnecessary as the system is functioning as expected.
D. Clamping the chest tube is are unnecessary as the system is functioning as expected.
Correct Answer is C
Explanation
A. Petroleum-based products should not be used in conjunction with oxygen therapy. They are flammable and can pose a fire hazard when used near oxygen. Instead, use water-based moisturizers to prevent dryness of the lips and skin.
B. Wool and other synthetic fabrics can generate static electricity, which is a fire hazard when using oxygen
therapy. It’s safer to use cotton blankets, as they are less likely to cause static buildup.
C. Oxygen tanks should be stored upright to prevent them from falling over and to ensure the regulator and valves are properly aligned. Storing tanks upright helps maintain stability and prevents accidental damage to the equipment.
D. While the recommendation to keep oxygen tanks away from electrical sources is important, the distance may vary based on specific guidelines. It is generally advised to keep oxygen tanks at least 5-10 feet away from electrical sources and heat sources to avoid any risk of ignition or fire.
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