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NSG 3023 CHAPTER 39 QUIZ | VERIFIED SOLUTION

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NSG 3023 CHAPTER 39 QUIZ Chapter 39: Surgical Patient Potter: Essentials for Nursing Practice, 8th Edition MULTIPLE CHOICE 1. 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 The nurse working on a medical/surgical floor knows that pulmonary embolisms can be a deadly complication after surgery. Which of the following patients is most likely to develop a pulmonary embolism? a. 45-year-old patient after bariatric surgery b. 23-year-old patient with pneumonia c. 13-year-old patient after appendectomy d. 57-year-old patient after cholecystectomy A 45-year-old woman has been admitted for surgery to remove a cancerous abdominal tumor. She has been on chemotherapy and recently radiotherapy to shrink the tumor without success. To best facilitate wound healing, when is the best time for her to undergo surgery? a. During the radiotherapy treatments b. Immediately after the radiotherapy treatments c. 2 to 3 weeks after radiotherapy treatments d. 4 to 6 weeks after radiotherapy treatments Which of the following patients is most at risk for hypovolemic shock after emergency surgery? a. 14-year-old adolescent with gastroenteritis b. 59-year-old patient with pneumonia c. 12-year-old patient with H1N1 flu d. 28-year-old patient with a fractured ankle 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.

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