A physically fit 86-year-old is scheduled for right knee replacement. What factor in this client makes him at increased risk for surgery?
A) Age
B) Type of surgery
C) Ability to metabolize medication
D) Nutritional status
A
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On admission, the nurse reviews preoperative instructions, such as diet restrictions and skin preparations, to ensure the client has followed them. If the client has not carried out a specific portion of the instructions, such as withholding foods and fluids, the nurse immediately notifies the surgeon. He or she identifies the client's needs to determine if the client is at risk for complications during or after the surgery. General risk factors are related to age; nutritional status; use of alcohol, tobacco, and other substances; and physical condition. In this scenario, the risk to the client is age; the other options are incorrect according to the scenario described.
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