Which of the following statements accurately reflects the relationship between obesity and surgical risk?

Obesity only affects the risk of surgical complications in certain surgical procedures.

Obesity has no impact on surgical risk.

Obesity decreases the risk of surgical complications.

Obesity increases the risk of surgical complications.

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is C

Explanation

A. Lisinopril is an ACE inhibitor used to treat hypertension and heart failure. It can affect blood pressure regulation and might impact intraoperative and postoperative blood pressure control, but it is not generally associated with increased surgical bleeding risk.
B. Acetaminophen is a pain reliever and antipyretic used for mild to moderate pain and fever. It does not have a significant impact on bleeding risk or interfere with clotting mechanisms. It is generally considered safe for use around the time of surgery.
C. Aspirin is an antiplatelet medication that inhibits platelet aggregation and can increase the risk of bleeding. It affects blood clotting and can lead to excessive bleeding during and after surgery. It is often recommended to stop aspirin use several days before surgery to reduce this risk, unless specifically directed otherwise by the healthcare provider.
D. Metoprolol is a beta-blocker used to manage hypertension and heart conditions. It is generally not associated with increased bleeding risk.

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 statements accurately reflects the relationship between obesity and surgical risk?

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Naxlex Comprehensive Predictor Exams

Which of the following medications from a client's medication list would increase their surgical risk?

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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