A client recovering from surgery to repair a fractured hip has a ...

[genevieve1028]

A client recovering from surgery to repair a fractured hip has a history of osteomyelitis. Which actions by the nurse may reduce this client's risk in the postoperative period?
 
  Select all that apply.
  A) Assess for pain every 1-2 hours.
  B) Use sterile technique for dressing changes.
  C) Assess wound for size, color, and drainage.
  D) Administer antibiotics as prescribed.
  E) Administer anticoagulants as prescribed.

Question 2

A nurse is caring for a client with end-stage liver disease. Which hematological alterations might the nurse anticipate with this client?
 
  Select all that apply.
  A) Elevated serum albumin levels due to increased protein synthesis
  B) Decreased clotting factor levels due to impaired clotting mechanisms
  C) Hyperglycemia due to disrupted glucose metabolism
  D) Increased serum vitamin K due to impaired clearance of fat-soluble vitamins
  E) Increased plasma oncotic pressure due to impaired protein metabolism

[tuwy]

Answer to Question 1

Answer: B, C, D

A client with a history of osteomyelitis is at an increased risk for infection. Interventions that can reduce the client's risk for infection include using sterile technique for dressing changes, assessing the wound for size, color, and drainage, and administering antibiotics as prescribed. Assessing is appropriate for the nursing diagnosis of Acute Pain. Administering anticoagulants, per order, is appropriate for the client who is at risk for deep vein thrombosis (DVT).

Answer to Question 2

Answer: B, C

Impaired function of liver cells has multiple effects. Impaired protein metabolism with decreased production of albumin and clotting factors occurs. Low albumin levels contribute to edema in peripheral tissues and ascites (accumulation of fluid in the abdomen), as plasma oncotic pressure is reduced, not increased. Impaired clotting-factor production increases the risk for bleeding. Disrupted glucose metabolism and storage may result in hyperglycemia. Also, serum vitamin K is decreased due to impaired absorption of fat-soluble vitamins.

[genevieve1028]

Correct answers!

[tuwy]

Great! Please up vote