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
You are working a respiratory arrest patient and have just successfully placed a combi-tube in your apneic patient. What should you do if the chest fails to rise appropriately and gastric sounds are present?
- A. Secure tube, and ventilate through tube #1
- B. Confirm placement with CO2 detector before ventilating through tube #1
- C. Remove the BVM from tube #1 and ventilate through tube #2
- D. Pull the combi-tube back approximately 2 cm and reassess
Correct Answer: C
Rationale: The correct answer is C: Remove the BVM from tube #1 and ventilate through tube #2. This is the correct action because the presence of gastric sounds indicates that the tube is likely in the esophagus, not the trachea. By removing the BVM from tube #1 and ventilating through tube #2, you are ventilating the patient's lungs directly, improving oxygenation.
Choice A is incorrect because ventilating through tube #1 will not improve the patient's condition if the tube is in the esophagus. Choice B is incorrect because confirming placement with a CO2 detector before ventilating through tube #1 does not address the issue of gastric sounds indicating esophageal placement. Choice D is incorrect because pulling the combi-tube back 2 cm without addressing the issue of esophageal placement will not improve ventilation.
A pulse oximeter sensor is normally clipped on a person's
- A. Neck
- B. Finger
- C. Stomach
- D. Lower arm
Correct Answer: B
Rationale: The correct answer is B: Finger. A pulse oximeter measures oxygen saturation in the blood by clipping onto a person's finger. The finger is chosen because it is easily accessible, has good blood flow, and provides accurate readings. Clipping the sensor on the neck (A) is incorrect as it may obstruct blood flow and provide inaccurate readings. The stomach (C) and lower arm (D) are also not ideal locations as they do not have as strong blood flow as the finger, leading to less accurate results.
Signs and symptoms of HIV/AIDS include
- A. Bleeding gums
- B. Pressure injuries
- C. Jaundice
- D. Changes in moles
Correct Answer: A
Rationale: Step-by-step rationale:
1. Bleeding gums are a common sign of HIV/AIDS due to weakened immune system.
2. Pressure injuries, jaundice, and changes in moles are not specific to HIV/AIDS.
3. Bleeding gums can occur due to oral infections common in HIV/AIDS.
4. Monitoring oral health is crucial in HIV/AIDS management.
Summary:
Bleeding gums is the correct answer as it is a specific symptom of HIV/AIDS related to oral health. Pressure injuries, jaundice, and changes in moles are not typically associated with HIV/AIDS.
A resident who has AIDS and has an infection of the mouth may need to eat food that is
- A. Spicy
- B. Soft or pureed
- C. Hot
- D. Acidic
Correct Answer: B
Rationale: The correct answer is B: Soft or pureed. AIDS patients with mouth infections may have difficulty chewing or swallowing due to pain or sores. Soft or pureed foods are easier to eat and less likely to irritate the mouth. Spicy (A), hot (C), and acidic (D) foods can aggravate mouth sores and cause discomfort, making them unsuitable choices for someone with an oral infection. Providing soft or pureed foods ensures the patient can still receive necessary nutrition without worsening their condition.
Which of the following will be missed by DPL?
- A. "Subcapsular hematoma of the spleen"
- B. Liver laceration
- C. Bowel injury
- D. Pancreatic injury
Correct Answer: A
Rationale: The correct answer is A: "Subcapsular hematoma of the spleen" because DPL (Diagnostic Peritoneal Lavage) is a diagnostic procedure used to assess for intra-abdominal injuries, particularly to organs like the liver, bowel, and pancreas. A subcapsular hematoma of the spleen is an injury specific to the spleen, which is not directly evaluated by DPL. The other choices (B: Liver laceration, C: Bowel injury, D: Pancreatic injury) are all potential injuries that can be detected by DPL due to their location within the abdominal cavity and the presence of free intra-abdominal fluid.