Nokea
A client is scheduled for outpatient surgery. When performing the preoperative teaching with the client, the nurse would instruct the client to avoid taking any salicylates for at least how many days before the surgery?
- A. 3
- B. 5
- C. 7
- D. 10
Correct Answer: C
Rationale: Salicylates should be avoided for at least 7 days before surgery to reduce the risk of postoperative bleeding.
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A nurse suspects that a client is experiencing acute acetaminophen toxicity based on assessment of which of the following?
- A. Nausea
- B. Jaundice
- C. Hypertension
- D. Cardiac arrhythmias
- E. Confusion
Correct Answer: A,B,E
Rationale: Signs of acute acetaminophen toxicity include nausea, vomiting, confusion, liver tenderness, hypotension, cardiac arrhythmias, jaundice, and acute hepatic and renal failure.
A nurse is developing a plan of care for a client with advanced rheumatoid arthritis who is experiencing moderate pain in the knees and hips. The client also has some deformities that make walking and moving about difficult. The primary health care provider has prescribed diflunisal. Which nursing diagnosis would be most appropriate for this client?
- A. Acute Pain
- B. Impaired Physical Mobility
- C. Ineffective Self Health Management
- D. Deficient Knowledge
- E. Imbalanced Nutrition: Less Than Body Requirements
Correct Answer: A,B
Rationale: Acute Pain and Impaired Physical Mobility are appropriate diagnoses based on the client's moderate pain and mobility issues due to rheumatoid arthritis.
A nurse would be especially alert for the development of liver failure in which client when administering acetaminophen?
- A. Client with diabetes
- B. Client who consumes alcohol habitually
- C. Client with hypertension
- D. Client with a urinary tract infection
Correct Answer: B
Rationale: Habitual alcohol consumption increases the risk of liver failure during acetaminophen therapy due to enhanced liver toxicity.
After administering diflunisal to a client, the nurse would be alert for which of the following as an adverse reaction?
- A. Diarrhea
- B. Tarry stools
- C. Weight loss
- D. Heartburn
- E. Constipation
Correct Answer: B,C,D
Rationale: Adverse effects of diflunisal, a salicylate, include gastric upset, heartburn, nausea, vomiting, anorexia, and GI bleeding (dark, tarry stools). Weight loss is also a potential adverse effect.
A nurse is caring for a patient who is receiving a salicylate for pain relief. The nurse would assess the client for which of the following suggesting salicylism?
- A. Constipation
- B. Bradycardia
- C. Sleeplessness
- D. Flushing
Correct Answer: D
Rationale: Flushing is a symptom of salicylism. Tachycardia, not sleepliness or constipation, is associated with salicylism.