A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr postoperative.

Which of the following surgical procedures places the client at risk for deep-vein thrombosis?

Cataract extraction.

Myringotomy.

Laparoscopic appendectomy.

Hip arthroplasty.

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Cataract extraction is a minor procedure and does not pose a significant risk for DVT.
Choice B rationale:
Myringotomy, a procedure to drain fluid from the middle ear, also does not significantly increase DVT risk.
Choice C rationale:
Laparoscopic appendectomy, while more invasive, still carries a lower DVT risk compared to major orthopedic surgeries.
Choice D rationale:
Hip arthroplasty, a major orthopedic surgery, poses a high risk for DVT due to prolonged immobility and venous stasis.

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Correct Answer is B

Explanation

Choice A rationale:
An HbA1c value of 8.5% is above the recommended range for good glucose control.
Choice B rationale:
An HbA1c value of 6.3% is within the target range for people with diabetes, indicating good glucose control.
Choice C rationale:
An HbA1c value of 10% is significantly above the recommended range, indicating poor glucose control.
Choice D rationale:
An HbA1c value of 7.8% is above the recommended range for good glucose control.

A. "A piece of healthy skin will be removed from an unburned area and grafted over the burned area.”. B. "Large incisions will be made in the eschar to improve circulation.”. C. "Dead tissue will be non-surgically removed.”. D. "This procedure involves placing the client into a shower and removing the dead tissue.”.

Correct Answer is B

Explanation

Choice A rationale:
This statement describes a skin graft, not an escharotomy.
Choice B rationale:
An escharotomy involves making large incisions in the eschar (burned tissue) to relieve pressure and improve circulation to the area.
Choice C rationale:
This statement describes debridement, which is the removal of dead tissue, but it is not specific to an escharotomy.
Choice D rationale:
This statement describes a method of debridement, not an escharotomy.

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A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr postoperative. Which of the following surgical procedures places the client at risk for deep-vein thrombosis?

Nursing Test Bank

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A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr postoperative.

Which of the following surgical procedures places the client at risk for deep-vein thrombosis?