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nano nano
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Posts: 369
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6 years ago
A student nurse asks why older adults are at higher risk for complications after surgery. What reasons does the registered nurse give? (Select all that apply.)
 
  a. Decreased cardiac output
  b. Decreased oxygenation
  c. Frequent nocturia
  d. Mobility alterations
  e. Inability to adapt to changes

Question 2

A nurse recently hired to the preoperative area learns that certain clients are at higher risk for venous thromboembolism (VTE). Which clients are considered at high risk? (Select all that apply.)
 
  a. Client with a humerus fracture
  b. Morbidly obese client
  c. Client who underwent a prolonged surgical procedure
  d. Client with severe heart failure
  e. Wheelchair-bound client

Question 3

A student nurse is caring for clients on the postoperative unit. The student asks the registered nurse why malnutrition can lead to poor surgical outcomes. What responses by the nurse are best? (Select all that apply.)
 
  a. A malnourished client will have fragile skin.
  b. Malnourished clients always have other problems.
  c. Many drugs are bound to protein in the body.
  d. Protein stores are needed for wound healing.
  e. Weakness and fatigue are common in malnutrition.

Question 4

A nurse is caring for several clients prior to surgery. Which medications taken by the clients require the nurse to consult with the physician about their administration? (Select all that apply.)
 
  a. Metformin (Glucophage)
  b. Omega-3 fatty acids (Sea Omega 30)
  c. Phenytoin (Dilantin)
  d. Pilocarpine hydrochloride (Isopto Carpine)
  e. Warfarin (Coumadin)
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Replies
wrote...
6 years ago
The answer to question 1

ANS: A, B, C, D
Older adults have many age-related physiologic changes that put them at higher risk of falling and other complications after surgery. Some of these include decreased cardiac output, decreased oxygenation of tissues, nocturia, and mobility alterations. They also have a decreased ability to adapt to new surroundings, but that is not the same as being unable to adapt.

The answer to question 2

ANS: B, C, D, E
All surgical clients should be assessed for VTE risk. Those considered at higher risk include those who are obese; are over 40; have cancer; have decreased mobility, immobility, or a spinal cord injury; have a history of any thrombotic event, varicose veins, or edema; take oral contraceptives or smoke; have decreased cardiac output; have a hip fracture; or are having total hip or knee surgery. Prolonged surgical time increases risk due to mobility and positioning needs.

The answer to question 3

ANS: A, C, D, E
Malnutrition can lead to poorer surgical outcomes for several reasons, including fragile skin that might break down, altered pharmacokinetics, poorer wound healing, and weakness or fatigue that can interfere with recovery. Malnutrition can exist without other comorbidities.

The answer to question 4

ANS: A, C, D, E
Although the client will be on NPO status before surgery, the nurse should check with the provider about allowing the client to take medications prescribed for diabetes, hypertension, cardiac disease, seizure disorders, depression, glaucoma, anticoagulation, or depression. Metformin is used to treat diabetes; phenytoin is for seizures; pilocarpine is for glaucoma, and warfarin is an anticoagulant. The omega-3 fatty acids can be held the day of surgery.
nano Author
wrote...
6 years ago
Thank you so much for providing this
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