Which of the following is a postoperative risk factor specifically associated with older adults?

Decreased renal function

Seasonal allergies

Family history of cancer

Hypertension

Answer and Explanation

The Correct Answer is A

A.   Decreased renal function is a common age-related change that can significantly increase postoperative complications, such as fluid and electrolyte imbalances, and medication toxicity.
B.   Seasonal allergies are not specifically related to postoperative risks and can affect people of all ages.
C.   Family history of cancer is a general health risk factor, not specifically postoperative.

D.   Hypertension is a common chronic condition that can affect people of all ages and while it can increase postoperative risks, it's not specific to older adults.

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Correct Answer is C

Explanation

A. pH 7.35, PaCO2 40 mm Hg, HCO3-25 mEq/L: This is within normal ranges and does not indicate acidosis.
B. pH 7.32, PaCO2 47 mm Hg. HCO3-23 mEq/L: This indicates respiratory acidosis, not metabolic.
C. pH 7.3, PaCO2 36 mm Hg. HCO3- 19 mEq/L: This indicates metabolic acidosis. The pH is low (acidic), and the HCO3- (bicarbonate) is decreased. The PaCO2 is within normal limits, indicating the respiratory system is compensating for the metabolic acidosis.
D. pH 7.5, PaCO2 35 mm Hg, HCO3- 35 mEq/L: This indicates alkalosis, not acidosis.

A. Asking appropriate questions about suctioning B. Verbalizing all steps in the procedure C. Attending a class given about tracheostomy care D. Performing the procedure independently

Correct Answer is D

Explanation

A. While asking appropriate questions demonstrates that the partner is engaged and seeking understanding, it alone does not indicate that they are ready to perform the procedure independently.

B. Being able to verbalize all steps in the procedure shows that the partner has knowledge and understanding of the process. However, verbalizing alone does not confirm that they can perform the procedure accurately and safely. Practical skills and hands-on competence are crucial for readiness.
C. Attending a class provides important theoretical knowledge and information about tracheostomy care. However, attending a class by itself does not guarantee that the partner has developed the necessary skills to perform suctioning independently.
D. The ability to perform the procedure independently indicates that the partner has acquired the necessary skills and confidence to carry out suctioning safely and effectively. It shows practical proficiency, which is essential for readiness for discharge. The partner’s ability to perform suctioning without assistance demonstrates that they can handle the procedure in real-life situations.

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Which of the following is a postoperative risk factor specifically associated with older adults?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a diabetic patient in renal failure who is in metabolic acidosis. Which laboratory findings are consistent with metabolic acidosis?

Correct Answer is C

Explanation

A nurse is caring for a client with a tracheostomy. The client's partner has been taught to perform suctioning. Which of the following actions by the partner should indicate to the nurse a readiness for the client's discharge?

Correct Answer is D

Explanation

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