A nurse is caring for a 55-year-old client who is 2 hours postoperative after having a total abdominal hysterectomy.
Drag words from the choices below to fill in each blank in the following sentence.
The client is at risk for developing
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B","dropdown-group-3":"E"}
Pneumonia: The client is at risk for pneumonia due to decreased lung expansion and increased risk of aspiration, especially after abdominal surgery.
Deep vein thrombosis (DVT): The client is at risk for DVT due to prolonged immobility and the increased risk of blood clots associated with surgery.
Urinary retention: The Foley catheter may interfere with the client's ability to void normally, increasing the risk of urinary retention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Surgical intervention is the most common and effective treatment for age-related cataracts. Cataract surgery involves the removal of the cloudy lens and replacement with an artificial intraocular lens, which can significantly improve vision.
B. Corticosteroid eye drops are not used to treat cataracts; they are generally prescribed for reducing inflammation in various eye conditions but do not address the lens opacity caused by cataracts.
C. Antioxidant supplements, beta-carotene, and selenium have been studied for their potential role in slowing the progression of cataracts, but they are not considered a primary treatment once cataracts have developed to the point of affecting vision.
D. Eyeglasses or magnifying lenses may help improve vision temporarily in the early stages of cataracts, but they do not treat the underlying cause and are not effective in advanced cases. Surgery remains the definitive treatment.
Correct Answer is ["A","B","D"]
Explanation
A. The fingerstick blood glucose level of 55 mg/dL at 1130 indicates hypoglycemia, which requires immediate attention to prevent further complications such as loss of consciousness or severe symptoms.
B. The client's report of shakiness, hunger, and cool, diaphoretic skin are signs of hypoglycemia, especially given the low blood glucose level. This requires prompt intervention to manage the blood glucose level.
C. The temperature of 37.8 °C (100 °F) is slightly elevated but does not require immediate follow-up unless there are other symptoms of infection or significant changes.
D. The elevated heart rate of 118/min could indicate an underlying issue such as dehydration, hypoglycemia, or infection. It requires further evaluation in the context of other findings.
E. The SpO2 of 95% on room air is within an acceptable range and does not require immediate follow-up unless there are other signs of respiratory distress or worsening condition.
F. The HbA1c of 8.01% reflects long-term glucose control but is not an immediate concern for follow-up in the acute setting. It is important for overall management but not an urgent issue for this particular scenario.
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