Which of the following is an appropriate evaluation method to assess the effectiveness of home care teaching after a client has surgery?

A. Obesity does not selectively affect only certain types of surgical procedures; rather, it generally increases the risk of complications across a wide range of surgical interventions. This includes both elective and emergency surgeries.
B. Obesity significantly impacts surgical risk. It is associated with a higher likelihood of complications such as wound infections, delayed wound healing, respiratory problems, and cardiovascular issues. The presence of excess body fat affects multiple physiological systems and can complicate both the surgical procedure and recovery.
C. Obesity does not decrease the risk of surgical complications; rather, it increases it. The excess body fat associated with obesity can lead to problems such as impaired wound healing, increased risk of infection, cardiovascular strain, and respiratory issues, which all contribute to a higher risk of complications during and after surgery.
D. This statement accurately reflects the relationship between obesity and surgical risk. Obesity is associated with an increased risk of a variety of surgical complications.

A. While administering 0.9% sodium chloride is an important step to maintain venous access and to help dilute any blood that might still be in the tubing, it is not the first action to take if a transfusion reaction is suspected. This step should occur after the transfusion is stopped and the patient’s safety is ensured.
B. The immediate priority when a transfusion reaction is suspected is to stop the transfusion immediately. This action helps to prevent further exposure to the potentially harmful blood product and mitigates the risk of worsening the reaction. Stopping the transfusion also allows for prompt medical assessment and intervention.
C. Returning the unit of blood to the blood bank is important for investigation and to determine the cause of the reaction, but it should be done after stopping the transfusion and ensuring the client’s safety. The blood bank may require the returned unit to confirm any issues with the blood product.

D. Obtaining a blood sample from the client is crucial for diagnostic purposes and to identify the cause of the reaction, but this should be done after the transfusion has been stopped. The sample may help in diagnosing the type of reaction or in managing it, but it does not address the immediate safety concerns.