97. A client with diabetes and hypertension has returned from surgery. Which nursing intervention will most likely reduce the risk of wound infection?
97. A client with diabetes and hypertension has returned from surgery. Which nursing intervention will most likely reduce the risk of wound infection?
. Monitor blood sugar and keep it under 200 postoperatively.
. Place the client in contact isolation postoperatively.
. Administer prophylactic antibiotics 48 hours preoperatively, as ordered.
. Administer glucocorticoid stress hormone replacements postoperatively, as ordered.
Test-Taking Tip
Prevention is the goal. Choose the answer that "monitors" a key serum level. "Diabetes" in the stem goes with "blood sugar" in the correct option. Look for an option that reduces the susceptibility of the client to an infection.
Content Area: Adult Health, Integumentary; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Complications from Surgical Procedures and Health Alterations
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Answer 1 is correct because an elevated blood sugar (over 200) is associated with an increased risk of infection and poor wound healing. Answer 2 is incorrect because clients are not placed in contact isolation to prevent infection; it is done to prevent transmission of a known infection to other clients. Answer 3 is incorrect because, to minimize the risk of bacteria developing resistance to antibiotics, preoperative doses are given no more than 2 hours before surgery. Answer 4 is incorrect because glucocorticoids increase the risk of infection by masking symptoms.