Nokea
The nurse is completing a medication history for the surgical patient in preadmission testing. Which medication should the nurse instruct the patient to hold (discontinue) in preparation for surgery according to protocol?
- A. Warfarin
- B. Vitamin C
- C. Prednisone
- D. Acetaminophen
Correct Answer: A
Rationale: Step 1: Warfarin is an anticoagulant that increases the risk of bleeding during surgery.
Step 2: Holding Warfarin helps normalize the patient's clotting ability before surgery.
Step 3: This reduces the risk of excessive bleeding during and after the procedure.
Step 4: Vitamin C, Prednisone, and Acetaminophen do not pose the same bleeding risk.
Summary: Warfarin is the correct choice due to its anticoagulant properties, making it crucial to discontinue before surgery to minimize bleeding complications. Vitamin C, Prednisone, and Acetaminophen do not have the same impact on clotting and are safe to continue.
You may also like to solve these questions
With myocardial ischemia a person lacks
- A. Oxygen
- B. Fluids
- C. White blood cells
- D. Immune function
Correct Answer: A
Rationale: Step-by-step rationale:
1. Myocardial ischemia is a condition where the heart muscle doesn't receive enough oxygen.
2. Oxygen is crucial for the heart to function properly and generate energy.
3. Lack of oxygen can lead to chest pain (angina) or a heart attack.
4. Therefore, with myocardial ischemia, the person lacks oxygen, making choice A correct.
Summary:
- Choice A (Oxygen) is correct as myocardial ischemia involves oxygen deficiency.
- Choices B, C, and D are incorrect as they are not directly related to the lack of oxygen in myocardial ischemia.
According to MyPlate a person should choose dairy products that contain
- A. 1% fat
- B. 2% fat
- C. 3% fat
- D. 4% fat
Correct Answer: A
Rationale: The correct answer is A: 1% fat. According to MyPlate, individuals are advised to choose dairy products that are low in fat content to promote overall health and reduce the intake of saturated fats. Dairy products with 1% fat strike a balance between flavor and fat content, making them a healthier choice compared to higher fat options. Options B, C, and D are higher in fat content, which can contribute to weight gain and increase the risk of heart disease. Therefore, choosing dairy products with 1% fat aligns with MyPlate's recommendations for a balanced and healthy diet.
Which of the following statements is true of chest tubes?
- A. The drainage system must be kept above the level of the resident's chest.
- B. The chest drainage must be observed for amount and color.
- C. The tubing should be kinked.
- D. Chest tubes will only be in the front of the body
Correct Answer: B
Rationale: The correct answer is B because observing the amount and color of chest drainage is crucial to monitor the resident's condition and detect any complications. Changes in amount or color can indicate bleeding, infection, or other issues. This helps in assessing the effectiveness of the chest tube and determining the need for any interventions.
A is incorrect because the drainage system should be kept below the level of the resident's chest to facilitate drainage.
C is incorrect as tubing should never be kinked as it can obstruct the flow of drainage, leading to complications.
D is incorrect as chest tubes can be placed in various locations, not just in the front of the body.
You are treating an adult trauma patient who was thrown from a moving vehicle. Upon assessment, you find the patient is hypotensive, has absent breath sounds on the right, and has visible tracheal deviation. What should you do first?
- A. Perform a needle decompression
- B. Administer a fluid bolus
- C. Intubate the patient
- D. Place the patient on a cardiac monitor
Correct Answer: A
Rationale: The correct answer is A: Perform a needle decompression. This is the first step because the patient likely has a tension pneumothorax, which is a life-threatening condition causing tracheal deviation, absent breath sounds, and hypotension. Needle decompression helps release the trapped air in the pleural space, alleviating the pressure on the heart and lungs. Administering a fluid bolus (choice B) may worsen the tension pneumothorax by increasing intrathoracic pressure. Intubation (choice C) may be necessary but should not be the first step in managing a tension pneumothorax. Placing the patient on a cardiac monitor (choice D) is important but not the immediate priority in this critical situation.
Which of the following is another word for armpit?
- A. Tympanum
- B. Rectum
- C. Axilla
- D. Temporal
Correct Answer: C
Rationale: The correct answer is C: Axilla. The axilla is the anatomical term for the armpit region. This area contains lymph nodes, blood vessels, and nerves. The other choices are incorrect:
A: Tympanum refers to the eardrum.
B: Rectum is the final section of the large intestine.
D: Temporal relates to the temples on the sides of the head. In summary, the axilla specifically refers to the armpit region, making it the correct answer.