The nurse is preparing the client for surgery. Identification of risk factors associated with delayed wound healing is done during a preoperative assessment, and can include:(Select all that apply) Standard Text: Select all that apply
1. Diabetes
2. Cardiac conditions
3. COPD
4. Steroid therapy
5. Epilepsy
1,4
Rationale: Diabetes mellitus predisposes the client to wound infection and delayed healing
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A 66-year-old man with a 60 pack-year history of cigarette smoking was diagnosed with non–small cell lung cancer several months ago and has been admitted to the palliative care unit following unsuccessful surgical resection and radiation therapy
What patient teaching should the nurse prioritize when providing care for this patient? A) Deep breathing and coughing exercises B) Pain management techniques C) Techniques for maintaining activities of daily living (ADLs) D) Infection control measures
A client with schizophrenia who admits to auditory hallucinations anxiously tells the nurse "The
voice is telling me to do things.". The priority assessment question the nurse should ask is a. "Do you recognize the voice speaking to you?' b. "How long has the voice been directing your behavior?" c. "Does what the voice tell you to do frighten you?" d. "What is the voice telling you to do?"
Which of the following is an assessment finding in a client with secondary pulmonary hypertension?
A) Shock B) Orthopnea C) Lung tissue infarction D) Restlessness
The nurse is preparing to administer a blood transfusion to a child with a severe anemia. Which type of transfusion reaction can be avoided by the nurse's assessment?
1. Allergic 2. Hemolytic 3. Febrile 4. Septic