A nurse is caring for a client in the preoperative holding area.
For each preoperative assessment finding, click to specify if the assessment finding places the client at risk for hypoxemia, bleeding, or a DVT in the intra- op or post-op phases.
Platelet count
Hemoglobin
International normalized ration
Atrial fibrillation
Red blood cell count
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"D"},"E":{"answers":"A"}}
Platelet count: Low platelets (135,000/mm³) increase bleeding risk as they are essential for clot formation.
Hemoglobin: A hemoglobin level within the low normal range could increase the risk of hypoxemia, particularly in the perioperative period when oxygen demand may be higher.
INR: Elevated INR (1.5) indicates increased bleeding risk due to prolonged clotting time.
Atrial fibrillation: Increases the risk of DVT due to irregular heart rhythms, which can lead to blood pooling and clot formation.
RBC count: A low RBC count contributes to the risk of hypoxemia as there are fewer red blood cells available to transport oxygen.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Widening pulse pressure is more indicative of increased intracranial pressure or septic shock, not hypovolemic shock.
B. Deep tendon reflexes are typically not increased in hypovolemic shock.
C. Increased heart rate is a compensatory response to hypovolemic shock as the body attempts to maintain cardiac output.
D. A pulse oximetry reading of 96% would not typically indicate hypovolemic shock; decreased oxygen saturation is more consistent with hypoxia.
Correct Answer is ["1733"]
Explanation
To calculate the infusion rate for the first 8 hours, you would take the total volume prescribed for the first 24 hours and divide it by 3, since 8 hours is one-third of 24 hours. So, 5,200 mL divided by 3 equals approximately 1,733.33 mL. Rounding this to the nearest whole number, the nurse should set the pump to infuse at a rate of 1,733 mL per hour for the first 8 hours.
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