NURS 6552 WEEK 3 CASE: NADINE WELL
WOMAN COMPREHENSIVE STUDY GUIDE
2026 FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ A 68-year-old client who is admitted to the medical-surgical unit with acute
cholecystitis and is scheduled for a laparoscopic cholecystectomy in the
morning. He is ambulatory without the use of an assistive device. His
medical history includes hypertension (HTN) and type 2 diabetes mellitus
(DM). His surgical history consists of an appendectomy in childhood and he
reports no complications. He is independent and lives with his spouse in a
retirement community. Client reports that he has not eaten in the last two
days due to nausea, vomiting, and abdominal pain. The client is alert and
oriented x3. His lungs are clear bilaterally, heart sounds are regular, and
bowel sounds are active in all quadrants. His skin is intact and blood glucose
is 124 mg/dL (6.88 mmol/L).Vital signs§ Temp 97.6° F (36.4° C)§ Heart
Rate 92 beats/min§ Respirations 18 breaths/min§ Blood pressure 138/88
mmHgAdmission lab results§ WBC 16,000 /ul (16.0 x 109/L)§ Albumin 3.0
g/dL (30 g/L)§ BUN 24 mg/dL (8.57 mmol/L)§ Creatinine 1.6 mg/dL
(122.0 umol/L)§ HgA1C 7.0% (53 mmol/mol)Preoperative Prescriptions§
Activity as tolerated§ Diet NPO except medications§ Sodium chloride 0.9%
at 125 mL/hour§ Ondansetron 4 mg IV every 4 hours prn nausea/vomiting§
Acetaminophen 650 mg po every 4 hours prn fever/mild pain§
Hydromorphone 0.5 mg IV every 4 hours severe pain§ Metoprolol 25 mg po
twice daily§ Metformin 500 mg po twice daily.
Answer: Section 1
◍ The nurse is aware that the older adult client is at an increased risk for
surgical complications due to normal physiological functions and
, comorbidities. Which risk factors place the older adult client at increased
risk for surgical complications?o Decreased respiratory muscle strength.o
Increased glomerular filtration rate.o Enhanced elasticity of the arterial
walls.o Rigidity of the arterial walls increases the client’s risk for
complications..
Answer: o Decreased respiratory muscle strength.· A decrease in respiratory
muscle strength predisposes the older client to postoperative respiratory
complications.
◍ Upon completing the client’s assessment, the nurse determines that the
client has which surgical risk factors? Select all that applyo Metoprolol.o
Poor appetite.o Diabetes Mellitus.o Albumin 3.0 g/dL (30 g/L).o Marital
status..
Answer: o Metoprolol.· Metoprolol has the potential to increase the risk of
bradycardia when used in conjunction with anesthetics.o Poor appetite.·
Poor appetite places the client at risk for surgical complications due to
inadequate nutrition.o Diabetes Mellitus.· Preexisting conditions, such
Diabetes Mellitus (DM), increase the client’s risk for surgical
complications.o Albumin 3.0 g/dL (30 g/L).· Low albumin places the client
at risk for surgical complications.
◍ What is the priority preoperative nursing action to prevent postoperative
atelectasis?o Administer pain medication as needed.o Instruct on incentive
spirometer use.o Obtain baseline pulse saturation.o Turn and position every
2 hours..
Answer: o Instruct on incentive spirometer use.· The nurse should teach the
client how to use an incentive spirometer in the preoperative period to help
decrease risk of atelectasis. The nurse should also ensure that learning has
occurred through client verbalization and return demonstration.
◍ Which is the likely reason for the elevated serum creatinine in the absence
of kidney disease?o Anemia.o Hypertension.o Increased pain.o
Dehydration..
Answer: o Dehydration.· Dehydration can temporarily increase creatinine.
WOMAN COMPREHENSIVE STUDY GUIDE
2026 FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ A 68-year-old client who is admitted to the medical-surgical unit with acute
cholecystitis and is scheduled for a laparoscopic cholecystectomy in the
morning. He is ambulatory without the use of an assistive device. His
medical history includes hypertension (HTN) and type 2 diabetes mellitus
(DM). His surgical history consists of an appendectomy in childhood and he
reports no complications. He is independent and lives with his spouse in a
retirement community. Client reports that he has not eaten in the last two
days due to nausea, vomiting, and abdominal pain. The client is alert and
oriented x3. His lungs are clear bilaterally, heart sounds are regular, and
bowel sounds are active in all quadrants. His skin is intact and blood glucose
is 124 mg/dL (6.88 mmol/L).Vital signs§ Temp 97.6° F (36.4° C)§ Heart
Rate 92 beats/min§ Respirations 18 breaths/min§ Blood pressure 138/88
mmHgAdmission lab results§ WBC 16,000 /ul (16.0 x 109/L)§ Albumin 3.0
g/dL (30 g/L)§ BUN 24 mg/dL (8.57 mmol/L)§ Creatinine 1.6 mg/dL
(122.0 umol/L)§ HgA1C 7.0% (53 mmol/mol)Preoperative Prescriptions§
Activity as tolerated§ Diet NPO except medications§ Sodium chloride 0.9%
at 125 mL/hour§ Ondansetron 4 mg IV every 4 hours prn nausea/vomiting§
Acetaminophen 650 mg po every 4 hours prn fever/mild pain§
Hydromorphone 0.5 mg IV every 4 hours severe pain§ Metoprolol 25 mg po
twice daily§ Metformin 500 mg po twice daily.
Answer: Section 1
◍ The nurse is aware that the older adult client is at an increased risk for
surgical complications due to normal physiological functions and
, comorbidities. Which risk factors place the older adult client at increased
risk for surgical complications?o Decreased respiratory muscle strength.o
Increased glomerular filtration rate.o Enhanced elasticity of the arterial
walls.o Rigidity of the arterial walls increases the client’s risk for
complications..
Answer: o Decreased respiratory muscle strength.· A decrease in respiratory
muscle strength predisposes the older client to postoperative respiratory
complications.
◍ Upon completing the client’s assessment, the nurse determines that the
client has which surgical risk factors? Select all that applyo Metoprolol.o
Poor appetite.o Diabetes Mellitus.o Albumin 3.0 g/dL (30 g/L).o Marital
status..
Answer: o Metoprolol.· Metoprolol has the potential to increase the risk of
bradycardia when used in conjunction with anesthetics.o Poor appetite.·
Poor appetite places the client at risk for surgical complications due to
inadequate nutrition.o Diabetes Mellitus.· Preexisting conditions, such
Diabetes Mellitus (DM), increase the client’s risk for surgical
complications.o Albumin 3.0 g/dL (30 g/L).· Low albumin places the client
at risk for surgical complications.
◍ What is the priority preoperative nursing action to prevent postoperative
atelectasis?o Administer pain medication as needed.o Instruct on incentive
spirometer use.o Obtain baseline pulse saturation.o Turn and position every
2 hours..
Answer: o Instruct on incentive spirometer use.· The nurse should teach the
client how to use an incentive spirometer in the preoperative period to help
decrease risk of atelectasis. The nurse should also ensure that learning has
occurred through client verbalization and return demonstration.
◍ Which is the likely reason for the elevated serum creatinine in the absence
of kidney disease?o Anemia.o Hypertension.o Increased pain.o
Dehydration..
Answer: o Dehydration.· Dehydration can temporarily increase creatinine.
