A preoperative assessment finds a client to be 75 pounds ...

[CBme]

A preoperative assessment finds a client to be 75 pounds overweight. The client is to have abdominal surgery. What nursing diagnosis would be appropriate based on the client's weight?
 
  A) Risk for Aspiration
  B) Risk for Imbalanced Body Temperature
  C) Risk for Infection
  D) Risk for Falls

Question 2

After conducting a preoperative health assessment, the nurse documents that the client has physical assessments supporting the medical diagnosis of emphysema. Based on this finding, what postoperative interventions would be included on the plan of care?
 
  A) Perform sterile dressing changes each morning.
  B) Administer pain medications as needed.
  C) Conduct a head-to-toe assessment each shift.
  D) Monitor respirations and breath sounds.

[Chocorrol77]

Answer to Question 1

Ans: C
Fatty tissue in obese clients has a poor blood supply and, therefore, has less resistance to infections. Postoperative complications of delayed wound healing, wound infection, and disruption of the wound are more common in obese clients.

Answer to Question 2

Ans: D
Respiratory disorders, including emphysema, increase the risk for respiratory depression from anesthesia as well as postoperative pneumonia and atelectasis.