A 43-year-old patient is scheduled to have a gastrectomy. Which ...

[ENagel]

A 43-year-old patient is scheduled to have a gastrectomy. Which one of the following is a major preoperative concern?
 
  a. The patient's brother had a tonsillectomy at 11 years of age.
  b. The patient smokes a pack of cigarettes a day.
  c. An intravenous (IV) infusion is present.
  d. The patient has a history of employment as a computer programmer.

Question 2

A client seeking care for stress tells the nurse that he is interested in seeking holistic care that incorporates body, mind, and spirit.
 
  The nurse knows that which of the following complementary and alternative (CAM) therapies may be beneficial to this client? a. Chiropractic medicine
  b. Traditional Chinese medicine
  c. Ayurvedic medicine
  d. Allopathic medicine

[brittiany.barnes]

Answer to Question 1

B

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A The fact that the patient's brother had a tonsillectomy at 11 years of age does not place the patient at risk for surgery.
B The patient who smokes is at greater risk for postoperative pulmonary complications than is a nonsmoker.
C The presence of an IV infusion does not place the patient at risk for surgery. An IV should be in place for surgery, so access is available to administer medications, fluids, or blood products if necessary. Keeping the patient well hydrated will help prevent postoperative thrombophlebitis.
D A history of employment as a computer programmer does not make the patient a surgical risk.

Answer to Question 2

B
Traditional Chinese medicine uses several healing modalities, including herbs, acupuncture, moxibustion, diet, exercise, and meditation. This therapy includes body, mind, and spirit.
Chiropractic medicine focuses on restoring structural and functional imbalances that result in pain. This therapy does not include the combination of body, mind, and spirit.
Ayurvedic medicine focuses on traditional Hindu medicine that combines herbs, purgatives, and oils to treat disease. This therapy does not include the combination of body, mind, and spirit.
Allopathic medicine focuses on traditional Western medicine concentrating on physical ailments. This therapy does not include the combination of body, mind, and spirit.