An obese client is admitted for abdominal surgery. To which of the following postoperative complications does the nurse recognize this client is more susceptible?
a. Anemia
b. Seizures
c. Protein loss
d. Dehiscence
D
An obese client is susceptible to poor wound healing and wound infection because of the struc-ture of fatty tissue, which contains a poor blood supply. This increases the risk for dehiscence.
An obese client is not at greater risk for anemia. A client who is malnourished is more susceptible to being anemic.
An obese client is not more susceptible to seizures.
An obese client is not more susceptible to protein loss. A client with liver disease may have al-tered protein metabolism.
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A patient has been experiencing muscle spasms in his neck from a four-wheeler accident. He is receiving 10 mg of cyclobenzaprine (Flexeril) PO tid. The nurse's teaching plan should include which of the following instructions?
A) Take the medication with a small amount of water B) Do not drive or operate heavy machinery for the first week C) Increase the dosage if necessary D) Stop the drug if dizziness occurs
A patient is being treated in the ICU after a medical error resulted in an acute hemolytic transfusion reaction. What was the etiology of this patient's adverse reaction?
A) Antibodies to donor leukocytes remained in the blood. B) The donor blood was incompatible with that of the patient. C) The patient had a sensitivity reaction to a plasma protein in the blood. D) The blood was infused too quickly and overwhelmed the patient's circulatory system.
When participating in a peer evaluation, the nurse should:
a. assess the personality of the individual. b. measure the quality of care against professional standards. c. consider the popularity of the individual. d. document the findings so that the information will be used as the major basis for pay raises and promotion.
An effective technique for communicating with toddlers is to
a. Have the toddler make up a story from a picture. b. Involve the toddler in dramatic play with dress-up clothing. c. Use picture books. d. Ask the toddler to draw pictures of his fears.