Which of the following is a common risk factor for surgical patients?

Young age

Regular exercise

Non-smoking

Obesity

Answer and Explanation

The Correct Answer is D

A. Young age:

Young clients, especially children and adolescents, generally have fewer surgical risks unless they have other comorbidities. Advanced age poses more risk.

B. Regular exercise:

This is typically a protective factor, not a risk. Clients who exercise regularly tend to have better outcomes post-surgery.

C. Non-smoking:

Non-smoking is a protective factor, reducing the risk of postoperative pulmonary complications and promoting wound healing.

D. Obesity:

Obesity increases surgical risk due to poor wound healing, risk of infection, anesthesia complications, and difficulty with ambulation postoperatively.

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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.

A. "You have nothing to worry about." B. "Tell me more about your concerns." C. "Why are you feeling so anxious?" D. "Others who have had this procedure have had great results."

Correct Answer is B

Explanation

A. “You have nothing to worry about.”

This is a dismissive response that minimizes the client’s feelings and may shut down further communication.

B. “Tell me more about your concerns.”

This is an open-ended, therapeutic communication technique that encourages the client to express emotions and fears, which helps reduce anxiety.

C. “Why are you feeling so anxious?”

The use of "why" questions can sound judgmental and make clients defensive.

D. “Others who have had this procedure have had great results.”

While meant to reassure, this invalidates the client’s personal feelings and may not address their specific concerns.

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Which of the following is a common risk factor for surgical patients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to obtain a sputum specimen for a client. Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

A nurse is assisting with the admission of a client who is about to have elective surgery. The client tells the nurse she feels anxious. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

A nurse is collecting data on a client for manifestations of pain. Which of the following findings is an objective indicator of pain?

A nurse in a pediatric unit is planning care for a group of clients. Which of the following clients should the nurse plan to use the Crying, Requires oxygen. Increased vital signs. Expression. Sleeplessness (CRIES) pain scale?

A nurse is reinforcing teaching with a newly licensed nurse about a nonrebreather mask. Which of the following statements should the nurse include?

A nurse is caring for a client who has surgical pain but is now complaining of nausea and vomiting. The nurse should expect the provider to order which of the following types of adjuvant medications?

A nurse is reinforcing teaching with a client who has a prescription for home oxygen therapy. Which of the following instructions should the nurse include?

A nurse is caring for a client who is postoperative. The nurse should recognize that which of the following methods is the most reliable source when determining the intensity of the client's pain?

A client is about to undergo a closed reduction of a fracture. In addition to analgesia, the nurse suggests that the client listen to an audiotape of music. Which of the following nonpharmacologic interventions for pain management is the nurse using?

A nurse is reinforcing teaching with a client who is scheduled for abdominal surgery about coughing and deep breathing which of the following statements should the nurse make?