The nurse has been assigned to care for several postoperative patients. The nurse is aware that the patient most likely to develop thrombophlebitis is the patient:
a. with a history of blood clots who is being discharged following an outpatient chole-cystectomy.
b. who is 6 days postoperative for total right hip replacement and has a history of left-sided stroke.
c. who has had major abdominal surgery and was dehydrated upon admission.
d. who is 2 days postoperative for hernia re-pair with a history of diabetes.
B
Although all of these patients are at varying degrees of risk for thrombophlebitis, the hip re-placement surgery places a patient at high risk for thrombophlebitis due to limited mobility, es-pecially after the fifth postoperative day. This patient is at even higher risk of thrombophlebitis because of a history of left-sided stroke.
You might also like to view...
A mother was concerned about her child dying of some childhood disease, because that is how some of her siblings died before her family came to the United States. Which of the following would be the most appropriate response by the nurse?
a. "You should see your doctor immediately if you ever think your child is ill." b. "Your child has been immunized, so the biggest danger is from accidents." c. "You have made sure your child has all the right immunizations so you can quit worrying." d. "You're right to be concerned, since susceptibility runs in families."
A 22-year-old woman has presented to the emergency department early in the morning and tearfully admitted to the triage nurse that she was sexually assaulted by two men after being drugged in a club the night before
The nurse would prioritize which of the following nursing diagnoses in the care of this client? A) Spiritual distress B) Anxiety C) Ineffective coping D) Rape trauma syndrome
The mother asks the nurse why her child must have three doses of a certain vaccine over the next few months. Which response by the nurse is correct?
1. "For some diseases, multiple doses are needed over time to allow the development of full immunity." 2. "The drug level must be high enough to prevent disease." 3. "It is prophylactic because not all parents get the immunizations at the correct time." 4. "We are not certain, but more doses have proven to be more effective."
The end product of starch digestion in the body is
a. sucrose. b. maltose. c. glycogen. d. glucose.