The surgeon assesses each client and weighs the surgical risk against the need for surgery. In some cases, surgery must be done despite the presence of risk factors. The nurse is preparing a nursing care plan for a client who is 88 years old

What are possible complications that the nurse needs to incorporate into this 88-year-old client's nursing care plan? 1 . Hypostatic pneumonia
2 . Dehydration
3 . Confusion
4 . Bleeding disorders
A) Client will not be easily aroused.
B) Client respiratory status may need to be supported.
C) Client will have a depressed level of consciousness.
D) Client will be able to respond to commands.


D
Feedback:
With minimal sedation, the client can respond to commands. With moderate sedation the client has a depressed level of consciousness. With deep sedation, the client cannot be easily aroused, but can respond after repeated stimulation. Respiration may need to be supported.

Nursing

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After teaching a client receiving leflunomide, the nurse determines that the teaching was successful when the client identifies which of the following as a possible adverse reaction? Select all that apply

A) Alopecia B) Hypotension C) Diarrhea D) Nystagmus E) Hematuria

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The client returning to the clinic for a follow-up visit 3 weeks after abdominal surgery is concerned because she can feel small, uneven lumps under the suture line of the incision. What is the nurse's best response?

A. "Avoid touching those areas because you may dislodge the blood clots that keep your incision from bleeding." B. "What you are feeling is growth of new tissue proceeding at different rates in the incision." C. "Those are the deep stitches the surgeon placed, and they will eventually be ab-sorbed and disappear." D. "Keep the incision covered for as long as those lumps can be felt."

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A client is being admitted to a restorative care facility. The nurse realizes the goal of restorative care is to:

1. help the client die. 2. help the family cope. 3. regain an optimal level of functioning. 4. increase health care costs.

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As the charge nurse in the Respiratory ICU, you are reviewing lab results for a patient recovering from a gunshot wound to the chest. The results are RBCs 3.9; WBCs 9,700; Platelets 52,000; Hct 42%; Hgb 13; elevated dDimer. What is this patient's condition?

A. Disseminated intravascular coagulopathy triggered by inflammation B. Anemia due to blood loss from the trauma C. Dehydration caused by hypovolemia D. An infection which developed as a result of the injury

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