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:
Sensitivity to light is common after cataract surgery and does not need to be reported.
Choice B rationale:
Severe pain could indicate complications such as increased intraocular pressure or infection.
Choice C rationale:
Itching is common after surgery due to healing and does not need to be reported.
Choice D rationale:
Difficulty with vision is expected due to the eye patch, but fear of falling should be addressed through safety measures, not necessarily reported to the provider.

A. Output of burgundy-colored urine. B. Oral temperature of 38.2° C (100.76° F). C. An urge to void despite having an indwelling urinary catheter. D. Pulse rate of 88/min.

Correct Answer is A

Explanation

Choice A rationale:
Output of burgundy colored urine can indicate bleeding, which is a complication after TURP.
Choice B rationale:
A slight fever might be normal postoperatively. However, a high fever could indicate an infection.
Choice C rationale:
An urge to void despite having an indwelling urinary catheter can be a normal sensation following surgery.
Choice D rationale:
A pulse rate of 88/min is within the normal range (60-100/min).

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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?