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 B
Explanation
A. A high-purine diet can worsen gout symptoms, so the client should avoid high-purine foods.
B. Limiting alcohol intake can help reduce gout attacks, as alcohol can increase uric acid levels.
C. Limiting fluid intake is not recommended; instead, increased hydration is beneficial for flushing uric acid from the system.
D. Aspirin is generally avoided in gout, as it can increase uric acid levels and worsen symptoms.
Correct Answer is ["B","D"]
Explanation
A. A turning schedule every 4 hours is insufficient; repositioning should ideally be done every 2 hours to prevent pressure injuries.
B. Reducing skin exposure to moisture helps maintain skin integrity, especially in areas prone to breakdown due to moisture accumulation.
C. Powder is not recommended as it can lead to skin irritation and potential breakdown.
D. Elevating heels with pillows relieves pressure on areas that are susceptible to pressure injuries in immobilized clients.
E. Massaging erythematous bony prominences can damage capillaries and increase the risk of pressure injury formation.
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