Difficulty: Medium
Average Score: 91%
Simulated
Passage / Scenario
History and PhysicalType 2 diabetes mellitus
Hypertension
Smokes 2 pack cigarettes/day for 20 years
Laboratory
Medication Administrative Record
Aspirin 81 mg by mouth daily. Last dose 2 weeks ago.
A nurse is caring for a client who is scheduled for a surgical procedure. The nurse is reviewing the client's electronic medical record. Which of the following findings places the client at risk for a surgical complication? Select all that apply.
Correct answer
B,D,E
Rationale
Aspirin has antiplatelet effects and increases the risk of bleeding during and after surgery. Smoking history increases the risk of poor oxygenation, impaired wound healing, and respiratory complications. Type 2 diabetes mellitus increases the risk of delayed wound healing and postoperative infections. WBC results are not mentioned as abnormal, and glucose level is not specified as uncontrolled.