An older adult client diagnosed with chronic obstructive pulmonary disease (COPD) is scheduled for a total knee replacement. What should the nurse include in this client's plan of care?
A) Monitor urine output.
B) Assess postoperative wound healing.
C) Restrict protein intake.
D) Expect purulent drainage.
Answer: B
Chronic lung disease reduces the amount of oxygen delivered to the tissues, which could delay wound healing. The nurse should assess the postoperative wound for healing. The client may or may not need to have urine output monitored. Purulent drainage is a sign of infection and would not be expected. Postoperative clients need an adequate intake of protein for wound healing; protein should not be restricted.
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