A nurse is performing a preoperative drug history on a client who is admitted to the hospital for surgery. To evaluate the risk of hemorrhage, the nurse will ask the client about antiplatelet and anticoagulant medications as well as which dietary supplement?

St. John's Wort

Coenzyme Q-10

Ginkgo biloba

Ma Huang

Answer and Explanation

The Correct Answer is C

A) St. John's Wort is not typically associated with an increased risk of bleeding.

B) Coenzyme Q-10 is not known to have significant anticoagulant or antiplatelet effects.

C) Ginkgo biloba is a dietary supplement that may increase the risk of bleeding, and its use should be assessed preoperatively.

D) Ma Huang (ephedra) is associated with cardiovascular stimulation rather than anticoagulant effects.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

a) Monitoring for Cushing's symptoms is important, but it is not a statement indicating a good understanding of the withdrawal process from glucocorticoids.

b) Telling the client to never take steroids again is an overly generalized statement and does not reflect a nuanced understanding of the medication.

c) Not attempting to taper off the medication without consulting the provider is the correct approach. Abrupt discontinuation can lead to adrenal insufficiency, and the tapering schedule should be individualized.

d) Reducing the dose by half each day without proper guidance may result in withdrawal symptoms and is not a recommended strategy.

A. The risk of respiratory depression increases over time. Use your incentive spirometer to assist with this normal side effect. B. You are addicted and should take a different medication. We can discuss this with your provider. C. Over time, people can develop a tolerance to opioids. We can discuss increasing your dose with the provider. D. Take your medication more often to help control the pain. You can double the frequency if needed.

Correct Answer is C

Explanation

a) Mentioning respiratory depression is not directly addressing the reported need for increased pain relief and might cause unnecessary concern about a side effect.

b) Accusing the client of addiction without further assessment or consideration of medical guidance is not appropriate and may damage the therapeutic relationship.

c) Developing tolerance to opioids is a common phenomenon, and discussing an increase in dosage with the healthcare provider is a reasonable response.

d) Advising the client to take the medication more often without consulting the healthcare provider can lead to unsafe practices and is not recommended.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is performing a preoperative drug history on a client who is admitted to the hospital for surgery. To evaluate the risk of hemorrhage, the nurse will ask the client about antiplatelet and anticoagulant medications as well as which dietary supplement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is talking to a client who wants to stop taking glucocorticoids after taking them for 3 months. Which statement by the client indicates a good understanding of the teaching about withdrawal?

Correct Answer is C

Explanation

A client with cancer has been taking an opioid analgesic four times daily for chronic pain and reports needing increased doses for pain. Which of the following is a proper response?

Correct Answer is C

Explanation

A client with a new diagnosis of atrial fibrillation is receiving a continuous infusion of heparin. Which finding will the nurse report immediately?

Which of these statements best describes the concept of half-life?

To prevent yellow or brown discoloration of teeth, tetracycline use should be avoided in which of the following clients?

A client who is recovering from total knee surgery is preparing for discharge. Which of these statements indicates the client needs further teaching?

A client with type 1 diabetes who takes insulin reports taking propranolol for hypertension. Why is the nurse concerned?

A client who is suffering from an acute gout attack wants to know how colchicine differs from probenecid and allopurinol in its actions. Which of these statements shows the need for further teaching regarding the purpose and use of these medications?

A pregnant client asks the nurse if she can take antihistamines for seasonal allergies during her pregnancy. What will the nurse tell the client?

A client who is receiving a final dose of intravenous cephalosporin complains of pain and irritation at the infusion site. The nurse observes signs of redness at the intravenous insertion site and along the vein. What is the nurse's action?