A client who has type 2 diabetes is scheduled for the removal of ...

[KWilfred]

A client who has type 2 diabetes is scheduled for the removal of a skin lesion on his right shoul-der at an ambulatory surgery unit. The nursing diagnosis the client is at greatest risk for postoper-atively is:
 
  1. Risk for injury
  2. Risk for infection
  3. Impaired wound healing
  4. Imbalanced nutrition: less than body requirements

Question 2

Which of the following preoperative assessment findings would most likely delay a planned pro-cedure requiring general anesthetic?
 
  1. A cough and low-grade fever
  2. The pulse oximetry reading of 97 on room air
  3. A blood pressure that is 10 systolic points higher than baseline
  4. The client's report of being so nervous about this procedure

[IAPPLET]

Answer to Question 1

ANS: 3
Diabetes increases susceptibility to infection and impairs wound healing from altered glucose metabolism and associated circulatory impairment. The stress of surgery often causes increases in blood glucose levels. Although all the options present with possible nursing diagnoses, the re-maining options are not of primary concern because steps can be taken (e.g., antibiotic, intrave-nous fluids) to minimize the risk. Impaired wound healing is not as easily managed.

Answer to Question 2

ANS: 1
Preoperative assessment occasionally reveals an abnormality that delays or cancels surgery. A client who presents with a cough and low-grade fever on admission would require the nurse to notify the surgeon immediately. The other options do not necessarily warrant delay or cancella-tion of a procedure.

[KWilfred]

TYSM

[juliaf]

Excellent