A nurse in a health clinic is caring for a client.

Exhibits

Select 1 condition and 1 client finding to fill in each blank in the following sentence.

The client is at risk for developing 

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due to 

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B. Family visits should be limited to 30 minutes per day to minimize their exposure.

A It should be worn consistently by the nurse caring for the client with the radiation implant to monitor their radiation exposure. Giving it to the oncoming nurse at the end of the shift is not appropriate because it does not provide real-time monitoring of radiation exposure for the nurse during their shift.

C. Soiled linens should be kept in the room until the radioactive source is removed to prevent the spread of contamination

D. One should never touch it directly; instead, use long-handled forceps and place it in a lead-lined container for safe disposal.

The client is at highest risk for wound infection as evidenced by the blood glucose level

Rationale

Type 2 diabetes mellitus: The client has poorly controlled diabetes with a preoperative Hemoglobin A1C of 9.5% and elevated glucose levels (280 mg/dL currently). Elevated blood glucose levels impair immune function and increase the risk of surgical site infections, including wound infections.

Postoperative state: After total knee arthroplasty, surgical wounds are vulnerable to infection. Hyperglycemia (high blood glucose levels) further increases susceptibility to infections due to impaired wound healing and compromised immune response.

Evidence: The client's current blood glucose level of 280 mg/dL (normal range 74 to 106 mg/dL) indicates poor glycemic control, which is a significant risk factor for developing wound infections postoperatively.