A nurse recognizes that the surgeon should be informed and that the surgery may be postponed if the client has:
A. A history of smoking
B. Calf pain, redness, and swelling
C. An increased hemoglobin level
D. Experienced an upper respiratory infection a month ago
B
B. Observe the calves for redness, warmth, and tenderness. Palpate pedal pulses. If a thrombus is suspected, notify physician and refrain from manipulating extremity any further. Surgery will usually be postponed.
A and C. Any condition that affects chest wall movement, such as obesity, advanced pregnancy, thoracic or abdominal surgery; history of smoking; and presence of reduced hemoglobin level increases client risk for postoperative complications but not necessarily postponement of surgery.
D. Assess and report to physician and/or anesthesiologist if client has had a cold or upper respiratory infection within past week.
You might also like to view...
_______________________________________ is standardized classification of interventions that describes the activities that nurses perform
Fill in the blank(s) with correct word
A nursing case manager requests a meeting with the nursing staff after discovering variances from critical pathways related to timely discharge of patients having hip replacement
Patients are not being discharged on time because they are refusing their physical therapy as a result of poor pain control. Meeting with the staff to discuss potential improvements in pain management is an example of a. performance improvement. b. continuous quality improvement. c. team building. d. Joint Commission compliance.
Which assessment finding indicates a complication in the client attempting a vaginal birth after cesarean (VBAC)?
a. Complaint of pain between the scapulae b. Change in fetal baseline from 128 to 132 bpm c. Contractions every 3 minutes lasting 70 seconds d. Pain level of 6 on scale of 0 to 10 during acme of contraction
The young patient has a history of multiple allergies, and the physician prescribed epinephrine (EpiPen) for prevention of anaphylactic shock. The patient's mother says to the nurse, "I thought shock was about heart failure." What is the best response by the nurse?
1. "There are many kinds of shock: heart failure, nervous system damage, loss of blood, and respiratory failure." 2. "Allergic response is the most fatal type of shock; other types involve loss of blood, heart failure, and liver failure." 3. "There are many kinds of shock that also include infection, nervous system damage, and loss of blood." 4. "Heart failure is the most serious kind of shock; others include infection, kidney failure, and loss of blood."