While planning care for a surgical patient, the nurse recognizes ...

[vicky]

While planning care for a surgical patient, the nurse recognizes that which of the following effects of hyperglycemia is seen in the immediate postoperative period?
 
  a. Increases risk for infection in the diabetic patient only
  b. Decreases risk for surgical site infection
  c. Increases risk for infection in diabetic and nondiabetic patients
  d. Has no effect on the body's ability to fight infection

Question 2

When explaining about a lumbar puncture, the nurse informs the patient that during the procedure, he or she will be asked to:
 
  a. remain very still.
  b. cough during the fluid aspiration.
  c. change position.
  d. breathe deeply during the needle insertion.

[marict]

Answer to Question 1

C
The presence of hyperglycemia in the immediate postoperative period increases the risk for infection in both diabetic and nondiabetic patients. The higher the serum glucose, the greater the potential for infection in both patient groups. Hyperglycemia has been shown to inhibit the body's ability to fight infection. Immediate postoperative glucose control also has been correlated with a reduction in surgical infection.

Answer to Question 2

A
Emphasize the importance of remaining immobile during the procedure to prevent trauma, especially with the lumbar puncture, because sudden movement is a risk for spinal cord nerve root damage. Also, instruct the patient not to cough, sneeze, or breathe deeply during the procedure because these actions increase the risks for needle displacement and damage to other structures.

[vicky]

TYSM

[helenmarkerine]

Excellent