Author Question: A nurse recently hired to the preoperative area learns that certain clients are at higher risk for ... (Read 359 times)

colton · **on:** Jun 25, 2018

A nurse recently hired to the preoperative area learns that certain clients are at higher risk for venous thromboembolism (VTE). Which clients are considered at high risk? (Select all that apply.)

a. Client with a humerus fracture
b. Morbidly obese client
c. Client who underwent a prolonged surgical procedure
d. Client with severe heart failure
e. Wheelchair-bound client

Question 2

A student nurse is caring for clients on the postoperative unit. The student asks the registered nurse why malnutrition can lead to poor surgical outcomes. What responses by the nurse are best? (Select all that apply.)

a. A malnourished client will have fragile skin.
b. Malnourished clients always have other problems.
c. Many drugs are bound to protein in the body.
d. Protein stores are needed for wound healing.
e. Weakness and fatigue are common in malnutrition.

maya.nigrin17@yahoo.com · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B, C, D, E
All surgical clients should be assessed for VTE risk. Those considered at higher risk include those who are obese; are over 40; have cancer; have decreased mobility, immobility, or a spinal cord injury; have a history of any thrombotic event, varicose veins, or edema; take oral contraceptives or smoke; have decreased cardiac output; have a hip fracture; or are having total hip or knee surgery. Prolonged surgical time increases risk due to mobility and positioning needs.

Answer to Question 2

ANS: A, C, D, E
Malnutrition can lead to poorer surgical outcomes for several reasons, including fragile skin that might break down, altered pharmacokinetics, poorer wound healing, and weakness or fatigue that can interfere with recovery. Malnutrition can exist without other comorbidities.