A 32-year-old thin and pale patient with hypothyroidism is met by the perioperative nurse for her preoperative assessment.The nurse notes the patient's thin frame and pale,fragile skin.The patient states that she is so cold that she has all of her clothes on under her patient gown.Based on her assessment,the nursing diagnoses for the patient include:
A) ineffective thermoregulation.
B) risk for decreased cardiac tissue perfusion.
C) risk for perioperative positioning injury.
D) risk for electrolyte imbalance.
E) risk for metabolic deterioration.

Question

Quizplus · Accepted Answer

The perioperative nurse should consider a patient who is not at optimal weight at high risk for pressure ulcer development and plan on padding pressure areas to prevent skin and tissue damage.Intraoperatively,warm saline should be provided for irrigation and a forced-air warming device used.Patients with hypothyroidism are at increased risk of becoming hypothermic.

A 32-Year-Old Thin and Pale Patient with Hypothyroidism Is Met