A patient is scheduled for surgery at 1:00 PM today. The nurse knows that surgery will most likely need to be rescheduled when the patient states...

I am nervous about taking care of my incision at home

"I had a lot of nausea and vomiting after my last surgery."

"I just took an extra dose of Aspirin to help with the pain."

I don't like hospital food, so I had a big delicious lunch yesterday!

Answer and Explanation

The Correct Answer is C

Taking an extra dose of Aspirin prior to surgery can significantly increase the risk of bleeding during and after the surgical procedure. Aspirin is a non-steroidal anti-inflammatory drug (NSAID) that can interfere with the normal blood clotting process. Surgical procedures often require meticulous control of bleeding, and the presence of Aspirin in the patient's system can pose a significant risk.

It is essential for patients to follow preoperative instructions provided by the healthcare team, including avoiding certain medications or substances that can increase the risk of complications during surgery. Taking an extra dose of Aspirin, especially without consulting the healthcare provider, can jeopardize the safety of the surgical procedure and may require rescheduling to ensure the patient's well-being.

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Correct Answer is D

Explanation

Pain and coldness in the fingers following AVG placement can indicate impaired blood flow or compromised circulation to the hand. This may be due to complications such as thrombosis (clot formation), graft malfunction, or decreased arterial perfusion. These symptoms should be taken seriously and promptly communicated to the healthcare provider.
The healthcare provider needs to evaluate the patient's symptoms, assess the AVG, and determine the appropriate course of action. Prompt intervention can help prevent further complications and ensure adequate blood flow to the fingers.

A. "You may notice an orange coloring to your urine! B. "Be sure to take a stool softener to prevent constipation. C. "We will need to check your labs frequently for bleeding risk” D. "You may experience a chronic dry cough."

Correct Answer is D

Explanation

The nurse should inform the client that a common side effect of Lisinopril, an ACE inhibitor, is a chronic dry cough. ACE inhibitors can cause irritation in the respiratory tract, leading to a persistent cough. It is important for the client to be aware of this side effect and report it to their healthcare provider if it becomes bothersome.

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A patient is scheduled for surgery at 1:00 PM today. The nurse knows that surgery will most likely need to be rescheduled when the patient states...

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After the insertion of an arteriovenous graft (AVG) in the right forearm, a patient complains of pain and coldness of the right fingers. Which action should the nurse take?

Correct Answer is D

Explanation

The nurse is providing education to a client who is prescribed Lisinopril (ACE inhibitor) for hypertension. The nurse will be sure to include what information about a common side effect?

Correct Answer is D

Explanation

In replying to a client's questions about the seriousness of the chronic kidney disease (CKD), the nurse knows that the stage of CKD is based on what?

What is one airway complication that can occur during surgery when the patient is receiving general anesthesia care?

An older adult client fell while getting out of bed. Which assessment finding indicates a possible hip fracture?

The nurse is preparing to witness the patient signing the operative consent form when the patient says, "I don't understand what the doctor said about the surgery." Which action should the nurse take next?

A student nurse correctly explains the pathophysiology of celiac when it is stated that patients who have celiac disease:

During surgery, the nurse makes the following observations about the patient: Pulse rises from 68 beats per minute to 110 beats per minute. Temperature increases from 36.5 C to 38.50 Muscles appear rigid. The circulating nurse anticipates preparation of:

What is the priority action the nurse will take for a 4-year old client admitted with minimal change nephrotic syndrome (MCNS) who has hypertension and facial edema?

An older patient who had knee replacement surgery 2 days ago can only tolerate being out of bed with physical therapy once a day. Which problem should the nurse identify as a priority for this patient?