Author Question: A 56-year-old nondiabetic patient is undergoing orthopedic surgery. The perioperative nurse is ... (Read 63 times)

Yi-Chen · **on:** Jul 22, 2018

A 56-year-old nondiabetic patient is undergoing orthopedic surgery. The perioperative nurse is monitoring the blood glucose level. What is the main rationale for monitoring his blood glucose level during surgery?

a. She does not want the patient to develop an embolism.
b. Research shows a strong relationship between wound infections and hyperglycemia.
c. She knows that normal glucose levels promote platelet production.
d. She is monitoring to prevent embolism.

Question 2

A registered nurse recently changed jobs and is now working in home health. What must the nurse chart to obtain reimbursement from Medicare, Medicaid, and private insurance companies?

a. Patient's response to care
b. Whether patient had a good or bad day
c. Whether family liked nurse or not
d. Patient's number of marriages

dudman123 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Evidence has shown that there is a relationship between wound and tissue infection and blood glucose levels. Poor control of blood glucose levels (specifically hyperglycemia) during and after surgery increases the risk for wound infection and patient mortality in certain types of surgery. PT and APTT blood tests are monitored to prevent embolism. Perioperative nurses work with their medical colleagues to maintain normal glucose levels in the postoperative period to reduce the risk for wound and tissue infection.

Answer to Question 2

A
When you provide home care, your documentation must specifically address the category of care and your patient's response to care. Good or bad day is not factual or objective information. Whether family liked nurse or not and the number of marriages does not affect reimbursement.