A 57-year-old patient who is being admitted for an appendectomy. ...

[hubes95]

A 57-year-old patient who is being admitted for an appendectomy. The patient is a 2-pack-a-day smoker, has a history of diabetes, and is 20 pounds overweight.
 
  Which of the following potential postoperative complications should be the nurse's highest concern for prevention? a. Atelectasis
  b. Negative nitrogen balance
  c. Delayed wound healing
  d. Hyperthermia

Question 2

The guardians of a premature infant who was delivered at 31-weeks' gestation is expected to be discharged from the hospital within the next few days.
 
  The guardians have voiced concern regarding how to prevent respiratory syncytial virus (RSV) exposure to the baby. What is the best response from the nurse? a. You will need to limit the baby's exposure to crowds of people.
  b. You need to make sure that the car seat is facing backward in the back seat of your car.
  c. You do not need to be concerned; the baby has a natural protection against this disease.
  d. You must sterilize all the bottles for the first 6 months.

[elizabethrperez]

Answer to Question 1

A
There is a significant association between smoking and postoperative pulmonary complications, specifically pneumonia and atelectasis. Chronic smoking increases the amount and thickness of mucous secretions in the lungs. Patients who are obese are more susceptible to developing atelectasis. Hyperthermia is incorrect because general anesthetics inhibit shivering, a protective reflex to maintain body temperature, and anesthetics cause vasodilation, which results in heat loss. Malnourished patients are more likely to have poor tolerance of anesthesia, negative nitrogen balance, delayed postoperative recovery, infection, and delayed wound healing.

Answer to Question 2

A
Premature infants are at risk for development of respiratory illnesses such as respiratory syncytial virus (RSV) as a result of the underdevelopment of the lung. Limiting exposure to crowds of people will limit the exposure to respiratory viruses. Premature infants do not have protection against this virus. The virus is respiratory, so the car seat and bottles will not affect this illness.

[hubes95]

Both answers were spot on, thank you once again

[elizabethrperez]

Great! Please up vote