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The Nurse Is Assessing a Client Admitted for a Total

Question 4

Multiple Choice

The nurse is assessing a client admitted for a total hip arthroplasty under general anesthesia. The client reports that her spouse had a "nasty cold" last week and states she now has a cough and "little tickle" in their throat. The nurse notes mild rhonchi in both bases of the lung fields. Which of the following nursing diagnoses would best explain why the nurse contacted the surgeon and anesthesiologist for a possible postponement of the surgery?


A) Risk for pneumonia due to cough and rhonchi in lungs
B) Risk for infection related to exposure to infection and cough
C) Risk for noncompliance related to inability to follow instructions
D) Risk for caregiver role strain due to spouse's acute illness

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