A 43-year-old client is scheduled to have a gastrectomy. Which of the

A 43-year-old client is scheduled to have a gastrectomy. Which of the following is a major pre-operative concern?

1. The client’s brother had a tonsillectomy at age 11.
2. The client smokes a pack of cigarettes a day.
3. The client has an intravenous (IV) infusion.
4. The client has a history of employment as a computer programmer.

ANSWER

ANS: 2
The client who smokes is at greater risk for postoperative pulmonary complications than a client who does not. An IV should be in place for surgery so access is available to administer medica-tions, fluids, or blood products if necessary. Keeping the client well hydrated will help prevent postoperative thrombophlebitis.