A nurse is caring for a patient who is scheduled for a surgical procedure. The nurse is reviewing the patient’s electronic medical record.
Which of the following findings places the patient at risk for a surgical complication? Select all that apply.
Glucose level
Metformin
Smoking history
WBC count
Type 2 diabetes mellitus.
Correct Answer : A,B,C,D,E
Choice A rationale
High glucose levels can indicate uncontrolled diabetes, which can increase the risk of surgical complications such as infection and poor wound healing.
Choice B rationale
Metformin is a medication used to treat type 2 diabetes. It can increase the risk of lactic acidosis, especially in patients undergoing procedures that involve the use of contrast dye.
Choice C rationale
A history of smoking can increase the risk of surgical complications, including poor wound healing, infection, and lung problems.
Choice D rationale
An elevated white blood cell (WBC) count can indicate an infection or inflammation in the body, which can increase the risk of surgical complications.
Choice E rationale
Type 2 diabetes mellitus can increase the risk of surgical complications, including infection, poor wound healing, and cardiovascular complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Step 1 is to calculate the rate of fluid replacement. The formula for this is: Rate (mL/hr) = Total volume (mL) ÷ Time (hr) So, for this question: Rate (mL/hr) = 1000 mL ÷ 10 hr = 100 mL/hr.
Correct Answer is C
Explanation
Choice A rationale
Restlessness is an observable behavior, making it an objective finding.
Choice B rationale
Pacing is also an observable behavior, so it is considered an objective finding.
Choice C rationale
Anxiety is a subjective finding because it is based on the patient’s personal experience and cannot be directly observed.
Choice D rationale
Alertness is an objective finding because it can be directly observed and measured.
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