Author Question: The nurse wants to ensure that a client recovering from surgery does not develop thrombophlebitis. ... (Read 31 times)

tuffie · **on:** Jul 23, 2018

The nurse wants to ensure that a client recovering from surgery does not develop thrombophlebitis. Which action should the nurse take to reduce the client's risk of this postoperative complication?

1. Administer an anticoagulant.
2. Assist the client to cough every 2 hours.
3. Monitor intake and output every 2 hours.
4. Provide for early ambulation.

Question 2

The nurse is preparing a 23-year-old female client for surgery. The nurse should anticipate which diagnostic test to be prescribed for this client?

1. Pregnancy test
2. EEG
3. EKG
4. Pulmonary function tests

isabelt_18 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Anticoagulant therapy must be prescribed by a physician.
Rationale 2: Coughing every 2 hours will reduce the client's risk of developing pneumonia or atelectasis.
Rationale 3: Measuring intake and output every 2 hours assesses the client's renal function.
Rationale 4: Early ambulation, leg exercises, antiembolic stockings, SCDs, and adequate fluid intake are all interventions to reduce the risk for thrombophlebitis.

Answer to Question 2

Correct Answer: 1
Rationale 1: A pregnancy test is done on all female clients of childbearing age.
Rationale 2: An electroencephalogra m is not considered a routine preoperative diagnostic test.
Rationale 3: An electrocardiogram is done on all clients over 40 years of age and/or clients with preexisting cardiac conditions.
Rationale 4: Pulmonary function tests are not routine preoperative diagnostic tests.