Four clients are scheduled for surgery. Which client does the nurse determine is at highest risk for postsurgical complications?
a. 89-year-old scheduled for a knee re-placement
b. 40-year-old requiring gallbladder surgery
c. 19-year-old requiring a laparoscopy
d. 10-year-old admitted for a tonsillectomy
A
The older client is at highest risk for postoperative complications. Older adults often have mul-tiple medical conditions, take several medications, are slightly dehydrated, and may have cogni-tive or physical impairments that potentially could hinder their recovery from an operation.
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The client has become unable to recognize formerly familiar objects and people in his environment. The client is experiencing:
a. Affect b. Agnosia c. Apraxia d. Anhedonia
A nurse is performing an admission assessment on a 40-year-old man who has been admitted for outpatient surgery on his right knee
While taking the patient's family history, he states, "My father died of prostate cancer at age 48." The nurse should instruct him on which of the following health promotion activities? A) The patient will need PSA levels drawn starting at age 55. B) The patient should have testing for presence of the CDH1 and STK11 genes. C) The patient should have PSA levels drawn regularly. D) The patient should limit alcohol use due to the risk of malignancy.
The patient is an 86-year-old woman who is being admitted for dehydration and pneumonia . The patient is lying in bed but tells the nurse that she needs to go to the bathroom
The nurse tells the patient that she will stay with her and will help her get there. The patient states, "That's OK. I can make it on my own." The nurse should: a. help the patient to the bathroom and stay with her. b. allow the patient to get up on her own and go to the bathroom. c. allow the patient to go to the bathroom and call for help if needed. d. insert a Foley catheter.
The husband of a client with terminal cancer has expressed a high degree of stress over his role as caregiver. When asked whether he has suicidal or homicidal thoughts he answered, "Sometimes."
Which of the following nursing statements is most therapeutic initially? 1. "What is the hardest part about your wife's impending death?" 2. "Can you describe your plan for killing yourself and your wife?" 3. "What can I do to help make caring for your wife less stressful?" 4. "Can you tell me how caring for your wife has affected you personally?"