A client who is scheduled for surgery is found to have ...

[RYAN BANYAN]

A client who is scheduled for surgery is found to have thrombocytopenia. A specific postopera-tive concern for the nurse for this client is:
 
  1. Hemorrhage
  2. Wound infection
  3. Fluid imbalance
  4. Respiratory depression

Question 2

Upon admission to the postanesthesia care unit (PACU), the client who has no orthopedic or neurological restrictions is positioned with the:
 
  1. Bed flat and the client's arms to the sides
  2. Client's neck flexed and body positioned laterally
  3. Head of the bed slightly elevated with the client's head to the side
  4. Client's arms crossed over the chest and the bed in high-Fowler's position

[mk6555]

Answer to Question 1

ANS: 1
A client with thrombocytopenia is at risk for hemorrhaging during and after surgery. Clients with immunological disorders or diabetes mellitus have an increased risk for wound infection after surgery. A client who has a fever is at risk for fluid imbalance. A client who has chronic respira-tory disease may be at increased risk for respiratory depression, not the client with thrombocyto-penia.

Answer to Question 2

ANS: 3
To promote a patent airway, the head of the bed may be slightly elevated and the client's neck slightly extended, with the client's head turned to the side. The client's head should not be flexed as this may occlude the airway. The client's arms should never be positioned over or across the chest, because this reduces maximal chest expansion.