Nokea
Many herbal products that are commonly taken cause surgical problems. Which herbs listed below should the nurse teach the patient to avoid before surgery to prevent an increase in bleeding for the surgical patient (select all that apply)?
- A. Garlic
- B. Fish oil
- C. Valerian
- D. Vitamin E, Astragalus, Ginkgo biloba
Correct Answer: D
Rationale: Herbs like garlic, fish oil, vitamin E, astragalus, and ginkgo biloba can increase bleeding risks and should be avoided before surgery.
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To determine if chilling is the result of an emerging complication or of infusing cold blood, what action is essential?
- A. Monitoring the client’s temperature before,during and after the transfusion.
- B. Documenting the client’s temperature after the transfusion.
- C. Documenting the temperature of the blood before the transfusion.
- D. Comparing the client’s temperature with the temperature of the blood.
Correct Answer: A
Rationale: The correct answer is A because monitoring the client’s temperature throughout the transfusion helps identify complications.
You have just received the morning report from the night shift nurses. List the order of priority for assessing and caring for these patients.
- A. A patient who developed tumor lysis syndrome around 5:00 am.
- B. A patient with frequent reports of break-through pain over the past 24 hours.
- C. A patient scheduled for exploratory laparotomy this morning.
- D. A patient with anticipatory nausea and vomiting for the past 24 hours.
Correct Answer: A
Rationale: Tumor lysis syndrome is a life-threatening condition requiring immediate intervention, making it the top priority.
Anne asks how she developed iron deficiency anemia. You respond by saying
- A. Insomnia.
- B. An increase in iron intake.
- C. Heavy menses or an inadequate intake of iron.
- D. Low salt intake.
Correct Answer: C
Rationale: Iron deficiency anemia is commonly caused by blood loss or insufficient dietary intake.
Which is an essential component of quality care for dying clients?
- A. Assist the client with personal hygiene.
- B. Inform all members of healthcare regarding the client’s prognosis.
- C. Provide sensitivity and compassion for the client and their family members.
- D. Promote the care of dying clients at home or in hospice settings.
Correct Answer: C
Rationale: Sensitivity and compassion address emotional and psychological needs, enhancing end-of-life care.
List in order the steps that are required to perform this function.
- A. Obtain an order for a chest x-ray to document tube placement
- B. Secure the tube in place
- C. Auscultate the chest during assisted ventilation
- D. Confirm that the breath sounds are equal and bilateral
Correct Answer: B
Rationale: Securing the tube ensures it remains in place during further assessments.