Which patient does the nurse classify as facing the highest surgical risk?
a. 40-year-old with hepatitis secondary to past IV drug use
b. 83-year-old with medically controlled hypertension
c. 6-month-old with congenital heart anomaly and early stage liver disease
d. 28-year-old taking anticoagulants secondary to mitral valve prolapse
C
The 6-month-old patient has the risks of very young age, cardiac problems, and liver disease and can be assumed to take multiple medications, making this the patient with the highest risk. Although the 40-year-old patient has an alteration in liver function, there are no other risk factors – and the patient's drug use occurred in the past. Although the 83-year-old patient has the risk factors of older age and hypertension, this is not the patient with the highest risk because the infant has even more risk factors. The 28-year-old patient has two risk factors (anticoagulants and mitral valve prolapse) and is not the one with the highest risk.
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Fill in the blank(s) with correct word