A patient is on postoperative day 4 after undergoing a total hip replacement. He is diagnosed as having a pulmonary embolism. Pulmonary embolism may occur as a postoperative complication of
a. arterial thrombosis.
b. venous thrombosis.
c. shallow, ineffective respirations.
d. rapid infusion of intravenous fluids.
B
Venous status, venous wall injury, and increased coagulability of blood cause the formation of a venous thrombosis. The thrombus (usually in the deep veins of the lower extremities) dislodges and travels through the venous circulation; it passes through the right side of the heart and enters the pulmonary artery, where it becomes lodged.
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The nurse knows that inflammatory response following a burn is proportional to the extent of injury. Which factor presents the greatest impact on the ability to modify the magnitude and duration of the inflammatory response in a client with a burn?
A) Age B) Weight C) Preexisting conditions D) Family history
A nurse caring for a complex medical client has been categorizing data as important or not important in an attempt to promote an optimal outcome for the client. The nurse is using:
a. breadth c. clarity b. logic d. depth
Which does the nurse complete before using a support surface or specialty bed?
1. Obtains the specialty bed 2. Massages all pressure points 3. Instructs client about the skin 4. Assesses client pressure ulcer risk
A middle adult requests visits by the hospital chaplain and reads the Bible each day while hospitalized for treatment of heart problems. What is the individual illustrating?
A) midlife transition C) fear for the future B) support of the rights of others D) trust in spiritual strength