A nurse is providing preoperative teaching to an older adult female client who is scheduled for a laminectomy and uses supplements. Which of the following supplements should the nurse identify as increasing the client's risk for hypotension during surgery?
Probiotics
Black Cohosh
soy
Flaxseed
The Correct Answer is B
Rationale:
A. Probiotics: Probiotics are used to support gastrointestinal and immune health and do not significantly affect blood pressure or pose a known risk for intraoperative hypotension.
B. Black Cohosh: Black cohosh is often used to manage menopausal symptoms and is known to cause vasodilation, which can lower blood pressure. When combined with anesthetic agents, it can potentiate hypotensive effects during surgery.
C. Soy: Soy is consumed for its phytoestrogenic effects but does not have a direct or significant hypotensive action that increases surgical risk. Its impact on intraoperative blood pressure is minimal.
D. Flaxseed: Flaxseed may offer mild antihypertensive effects over time due to its omega-3 content, but it is not typically associated with clinically significant drops in blood pressure during surgery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A,B,C,D
Explanation
Rationale:
A. Rolls from back to side: This is typically the first gross motor milestone among the listed options and usually occurs around 4 months of age. It marks early trunk and upper body control development.
B. Rolls from back to abdomen: Rolling from back to abdomen requires more strength and coordination and generally occurs around 5 to 6 months of age, following the ability to roll to the side.
C. Sits steadily unsupported: Infants begin sitting without support around 7 to 8 months, once they develop adequate trunk and head control. This milestone represents a major progression in balance and posture.
D. Changes from prone to sitting: Transitioning from a prone to a sitting position typically develops around 9 to 10 months. It involves coordinated control of the arms, trunk, and legs and reflects advanced gross motor skill development.
Correct Answer is ["D","E","F"]
Explanation
Rationale for correct choices:
- DTR 2+ bilaterally: This is within the normal range and shows recovery from previous central nervous system depression caused by magnesium sulfate toxicity, which earlier caused a drop to 1+.
- Urine output 40 mL in the last hour: Output is improving from the prior 20 mL/hr, suggesting better renal perfusion and clearance of magnesium. Adequate urine output is critical to prevent accumulation and toxicity.
- Oxygen saturation 95% on 2 L nasal cannula: This value meets the prescribed goal and reflects stabilized respiratory function after earlier shallow breathing. It indicates successful oxygenation support.
Rationale for incorrect choices:
- Temperature 38.3° C (101° F): This is an elevated temperature and may indicate systemic infection or inflammation. It does not support an improvement in condition and warrants monitoring.
- Heart rate 58/min: This is bradycardia and could indicate lingering effects of magnesium toxicity or a vagal response. It does not reflect improvement and needs further assessment.
- Blood pressure 146/96 mm Hg: Although slightly lower than the earlier reading of 170/112 mm Hg, it is still in the hypertensive range and does not signify resolution of preeclampsia or stabilization.
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