Which of these postoperative complications is MORE likely to occur in older adult clients?
a. deep vein thrombosis
b. dehydration
c. pneumonia
d. unpredictable responses to medications and anesthetics
B
Older adult clients experience many physiologic changes associated with aging and are more likely to become dehydrated and thus less able to adapt to fluid loss during surgery.
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A woman with a history of previous abruptio placentae with fetal demise is being seen in the perinatal clinic. She is now pregnant again in her early second trimester
She tells the nurse she is a Jehovah's Witness and she wants her chart to reflect her refusal to accept blood products if she hemorrhages again. Which action by the nurse is best? A. Ask the woman to consider an exception in order to save her baby's life if needed. B. Document the information on the chart and inform the health-care provider. C. Encourage the woman and provider to discuss appropriate delivery sites. D. Tell the woman a court can order the transfusion to save the baby.
A client with secondary polycythemia being seen in the clinic informs the nurse he will be taking a long flight overseas in the near future. The nurse should remind the client:
1. That he should start taking an antibiotic 1 week before leaving. 2. That he will need supplemental oxygen when at a higher altitude. 3. To be sure to wear support stockings during the flight. 4. To restrict intake of high-protein foods the day of the flight.
Which of the following are caused by a sympathetic nervous system response? (Select all that apply.)
a. dilated pupils e. increased respiratory rate b. decreased heart rate f. increased gastric motility c. increased blood pressure g. decreased gastric secretions d. bronchial relaxation h. sphincter contraction
The nurse is caring for a preoperative patient. The patient asks the nurse what types of anesthesia cause a loss of sensation in a specific area of the body while the patient remains alert. Which of these responses should the nurse give?
(Select all that apply.) a. "Epidural anesthesia." b. "General anesthesia." c. "Local anesthesia." d. "Spinal anesthesia."