The nurse is caring for a 54-year-old client with a history of smoking one pack of cigarettes per day diagnosed with early stages of emphysema
What preoperative screening tests would the nurse anticipate this client will require? Select all that apply. Standard Text: Select all that apply. 1. Complete blood count
2. Chest x-ray
3. Electrocardiogram
4. Urine culture and sensitivity
5. ALT, AST, LDH, and bilirubin
1,2,3
Rationale: This client is at increased risk for respiratory infections and polycythemia secondary to smoking, so a CBC would be indicated. A chest x-ray is needed by anesthesiology in order to determine the safety of administering inhaled anesthetics. ECG is indicated due to risk of cardiac damage secondary to smoking. A urine culture and liver enzymes are not indicated by this client's condition unless secondary problems exist.
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