Which client is at greatest risk for respiratory complications after surgery under general anesthesia?
A. 65-year-old woman taking a calcium channel blocker for hypertension
B. 55-year-old man with chronic allergic rhinitis
C. 45-year-old woman with diabetes mellitus type 1
D. 35-year-old man who smokes two packs of cigarettes daily
D
Cigarette smoking greatly increases the risk for pulmonary problems following general anesthesia because the cilia of the mucous membranes may be absent or hypoactive, the lining of the airways may be hypertrophied, and the alveoli may be less compliant. Age and gender are not significant in this case.
You might also like to view...
Choose the nursing diagnosis that most closely indicates the need for power in nursing
1. Powerlessness 2. Knowledge Deficit 3. Social Isolation 4. Fear
The nurse is interviewing a newly admitted psychiatric client. Which of the following nursing statements is an example of offering a "general lead"?
1. "Do you know why you are here?" 2. "Are you feeling depressed or anxious?" 3. "Yes, I see. Go on." 4. "Can you order the specific events that led to your admission?"
When learning of the diagnosis of a deep vein thrombosis, a client states, "If it is God's will, I will get better." Which would be the most important nursing intervention in order to provide spiritually competent care?
a. Notify the physician immediately. b. Convey respect for the client's belief. c. Tell the client they shouldn't give up. d. Further assess the client's knowledge of the disease.
Patients on the unit have their vital signs taken routinely at 0800, 1200, 1600, and 2000. At 1000, a patient complains of feeling "light-headed." The nurse takes the patient's vital signs and finds blood pressure to be lower than usual
Within 15 minutes, the patient says that he feels better. The nurse rechecks the blood pressure and finds that it is now back to normal. How should the nurse handle documentation for this episode? a. Document the 1000 vital signs in the graphic record only. b. Not report the incident because it was a transient episode. c. Document the vital signs in the graphic and progress record. d. Document the vital signs as 12 o'clock signs.