The nurse is caring for a group of medical-surgical patients. The patient most at risk for developing an infection is the patient who
a. Is in observation for chest pain.
b. Is recovering from a right total hip arthroplasty.
c. Has been admitted with dehydration.
d. Has been admitted for stabilization of atrial fibrillation.
B
The patient who is recovering from a right total hip arthroplasty has had a surgical procedure wherein bone was removed from the body and an implant was placed within the patient. The patient has a large incision from surgery. The patient also has an intravenous infusion to provide fluids and medication. All these breaks in the skin increase the likelihood of infection. The patient has had anesthesia and medication for pain. Both of these depress the respiratory system and have the potential to decrease the expansion of alveoli and to increase the chance of infection in the respiratory system. The other patients may have one break in the skin when an intravenous infusion is used.
You might also like to view...
The patient's admitting 12-lead ECG shows wide, M-shaped P waves. Which of the following admitting diagnoses could be responsible for this finding?
a. Mitral stenosis c. Hypotension b. Chronic pulmonary disease d. Pericarditis
The nurse is providing home care for a 1-year-old girl who is technologically dependent. Which intervention will best support the family process?
A) Finding an integrated health program for the family B) Teaching modifications of the medical regimen for vacation C) Assessing family expectations for the special-needs child D) Creating schedules for therapies and interventions
The nurse caring for a female client 1 day after a thoracotomy assesses that the client is in pain, but the client states that she has no pain. Which does the nurse use to confirm the client's pain? (Select all that apply.)
1. Facial grimacing during linen changes 2. Eats a full liquid diet without assistance 3. Uses the incentive spirometer every hour 4. Client's culture forbids complaints of pain 5. Has received nothing for pain since surgery 6. Heart rate is 110 and blood pressure is 169/90.
The nurse communicates with a client who has a cognitive deficit. Which nursing response is best to enhance the client's self-esteem?
1. "Who is going to perform the routine grocery shopping?" 2. "You have managed your medications very well today.". 3. "Your family handles cooking and cleaning duties now.". 4. "The medication schedule is on the mirror to remind you.".