Which of the following should the nurse recognize as a sign of possible infection in a postoperative client? (Select all that apply.)

Dry crust on the incision line

Adventitious breath sounds

Increased urine output

Decreased level of consciousness

Oral temperature of 38.3° C (101° F)

Answer and Explanation

Correct Answer : B,D,E

A.   Dry crust on the incision line may indicate normal healing, not necessarily infection.
B.   Adventitious breath sounds can be indicative of pneumonia, a potential infection.
C.   Increased urine output is not a sign of infection but may suggest other issues.
D.   Decreased level of consciousness suggests a systemic issue, which could include infection affecting the central nervous system.
E.   Oral temperature of 38.3° C (101° F) indicates fever which is a common sign of infection.

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Correct Answer is D

Explanation

A. DIC is not a genetic disorder but is often secondary to other conditions.
B. In DIC, platelet count decreases rather than increases.
C. While heparin may be used in the treatment of DIC, it is not a lifelong therapy, and its use depends on the specific clinical situation.
D. DIC involves abnormal coagulation, with consumption of clotting factors and fibrinogen, leading to both bleeding and thrombosis.

A. Client has a BMI of 16 B. History of type 2 diabetes mellitus C. Client is a nonsmoker D. Budesonide 6 mg PO qd

Correct Answer is ["A","B","D"]

Explanation

A. Low body mass index (BMI) can be associated with malnutrition, which may compromise the immune system and increase susceptibility to infection.
B. Diabetes can weaken the immune system and increase the risk of infections.
C. Smoking is a risk factor for various health issues, but it is not a direct factor that increases susceptibility to infection in this context. The client is a non-smoker.
D. Budesonide is a corticosteroid, and prolonged use of corticosteroids can suppress the immune system, making the individual more susceptible to infections.

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Which of the following should the nurse recognize as a sign of possible infection in a postoperative client? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who has septic shock and is at risk for disseminated intravascular coagulation (DIC). Which of the following nursing statements indicates an understanding of the condition?

Correct Answer is D

Explanation

A nurse is assisting in the care of a client. Medication Administration Record Laboratory Results Hct 47% (379% to 52%) Hgb 16 g/dL (12 to 18 g/dL) Potassium 3.6 mEq/L (3.5 to 5.0 mEq/L) Select the findings that increase the client’s susceptibility to infection. To unselect

Correct Answer is ["A","B","D"]

Explanation

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