Asked by Jaden knight on Apr 27, 2024

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Which assessment finding leads the nurse to include risk for ineffective airway clearance to the surgical patient's care plan?

A) The patient is extremely anxious about the upcoming surgery.
B) The patient will be receiving a local anesthetic for the procedure.
C) The patient sleeps poorly and wakes up every morning with a headache.
D) The patient speaks no English and requires the services of an interpreter.

Ineffective Airway Clearance

A medical condition where the patient is unable to clear secretions or obstructions from the respiratory tract, leading to breathing difficulties.

Local Anesthetic

A type of medication used to temporarily block sensation in a specific area of the body during medical procedures.

Extremely Anxious

Experiencing intense feelings of worry, nervousness, or unease, typically about an imminent event or something with an uncertain outcome.

  • Recognize the indicators and manifestations of critical postoperative complications.
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BS
Blake SimmonsMay 02, 2024
Final Answer :
C
Explanation :
Frequent arousals and waking up every morning with a headache are signs of potential obstructive sleep apnea.Collapse of the patient's upper airway during sleep leads to ineffective airway clearance.Anxiety,language fluency,and local anesthesia do not indicate risk for ineffective airway clearance.