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 A
Explanation
A. Hypoxemia is an early sign of fat embolism syndrome due to the presence of fat globules in the pulmonary circulation.
B. Headache can be associated with hypoxemia but is not as specific or immediate as hypoxemia itself.
C. Petechiae, while a classic sign, usually appear later in the progression of fat embolism syndrome.
D. Precordial chest pain may occur but is not typically the first sign; hypoxemia is usually noted first.
Correct Answer is A
Explanation
A. While excessive strenuous exercise can potentially worsen symptoms, regular moderate exercise is generally beneficial for clients with SLE, helping maintain joint flexibility and muscle strength.
B. Infections can exacerbate SLE symptoms and lead to flares due to immune system involvement.
C. Pregnancy can also exacerbate SLE due to hormonal changes affecting the immune system.
D. Sunlight is known to trigger flares in SLE due to photosensitivity.
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