The nurse completes the preoperative assessment for a client scheduled for a total knee replacement today. Which information should the nurse report to the health care provider (HCP) as soon as possible before the surgery?

Question

The nurse completes the preoperative assessment for a client scheduled for a total knee replacement today.  Which information should the nurse report to the health care provider (HCP) as soon as possible before the surgery?

Quizplus · Accepted Answer

A recent/current infection is a contraindication to total joint replacement surgery as a wound infection is more likely to occur in a client with a preexisting infection. The nurse should report the new onset of burning on urination to the HCP. Burning could indicate the presence of a urinary tract infection. (Option A) Allergy to strawberries is not a contraindication to the scheduled surgery. However, a latex allergy should be documented. (Option C) Severe knee pain is expected in a client undergoing a total knee replacement. (Option D) Clients are directed to stop taking nonsteroidal anti-inflammatory drugs, including selective COX-2 inhibitors (eg, celecoxib [Celebrex]), 7 days before surgery to decrease the risk of intra- and postoperative bleeding. Educational objective: A recent/current infection is a contraindication to elective total joint replacement surgery. Any clinical manifestation that could indicate the presence of an infection should be reported to the HCP as soon as possible before the surgery.

The Nurse Completes the Preoperative Assessment for a Client Scheduled