The nurse learns that a patient will receive an infusion of Propofol for a procedure. The nurse knows that the following will increase risk for adverse effects with this infusion:

History of hyperlipidemia.

History of congestive heart failure

History of breast cancer

History of arthritis

Answer and Explanation

The Correct Answer is A

Choice A rationale: Propofol is formulated in a lipid emulsion that can increase the serum triglyceride levels and cause pancreatitis, especially in patients with preexisting hyperlipidemia.
Choice B rationale: History of hyperlipidemia is not typically associated with an increased risk of adverse effects with propofol infusion.
Choice C rationale: History of breast cancer is not directly associated with an increased risk of adverse effects with propofol infusion.
Choice D rationale: History of arthritis is not directly associated with an increased risk of adverse effects with propofol infusion.

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Correct Answer is C

Explanation

Choice A rationale: Disorientation and hallucinations are not common side effects of fluoxetine. These symptoms may indicate other issues and should be reported to the healthcare provider.
Choice B rationale: Sexual side effects, including a potential decrease in interest in sex, are known side effects of fluoxetine. The statement suggesting enhanced interest is not accurate.
Choice C rationale: Fluoxetine, like other selective serotonin reuptake inhibitors (SSRIs), may take 3 to 4 weeks or even longer for the full therapeutic effect to be achieved.
Choice D rationale: Abruptly stopping fluoxetine is not recommended and can lead to withdrawal symptoms. The medication should be tapered under the guidance of a healthcare provider.

A. stop using aspirin immediately. B. stop using aspirin 3 days prior to surgery. C. reduce the aspirin dosage by half until after surgery. D. continue to use aspirin as scheduled.

Correct Answer is B

Explanation

Choice A rationale: Stopping aspirin immediately may not be necessary and can increase the risk of rebound thrombosis. A gradual discontinuation is often recommended.
Choice B rationale: Stopping aspirin 3 days prior to surgery is a common recommendation to minimize the risk of bleeding during and after the surgical procedure.
Choice C rationale: Reducing the aspirin dosage may not be sufficient, and complete discontinuation is often advised before surgery.
Choice D rationale: Continuing aspirin as scheduled can increase the risk of bleeding during and after surgery. It is generally recommended to discontinue aspirin before elective surgical procedures.

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The nurse learns that a patient will receive an infusion of Propofol for a procedure. The nurse knows that the following will increase risk for adverse effects with this infusion:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with depression has been prescribed fluoxetine. Which statement made by the patient indicates an understanding of the medication teaching?

Correct Answer is C

Explanation

A patient who takes daily doses of aspirin is scheduled for surgery in one week. The nurse should advise the patient

Correct Answer is B

Explanation

The nurse teaches a 16-year-old female patient about methylphenidate. Which statement by the patient indicates that more teaching is needed?

A patient is receiving Prazosin, a drug that blocks alpha1-adrenergic receptors. Which adverse effect, if experienced by the patient, is of most concern to the nurse?

Absolute contraindications to vaccine administration in children include (select all that apply)

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