Which action is the priority when providing care to a patient in the preoperative period?

Educating the patient on the surgical process

Ensuring the patient's preoperative checklist is complete

Answering all questions for the patient about surgery

Admitting the patient to the facility

Answer and Explanation

The Correct Answer is B

A. Educating the patient on the surgical process. Preoperative education is important, but ensuring that all essential preoperative requirements are met takes precedence.

B. Ensuring the patient's preoperative checklist is complete. The preoperative checklist ensures that all necessary steps (e.g., consent, lab results, NPO status) are completed before surgery. Missing an essential step could delay or complicate the procedure.

C. Answering all questions for the patient about surgery. Answering questions is important but is not the priority over ensuring surgical readiness.

D. Admitting the patient to the facility. While admission is necessary, it does not take precedence over ensuring all preoperative preparations are complete.

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Correct Answer is C

Explanation

A. Ibuprofen (NSAID): Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that does not affect serotonin levels.

B. Acetaminophen (Antipyretic): Acetaminophen is used for fever and pain and does not impact serotonin metabolism.

C. Venlafaxine (SNRI): Serotonin-norepinephrine reuptake inhibitors (SNRIs) like venlafaxine increase serotonin levels and can contribute to serotonin syndrome, especially when combined with other serotonergic drugs.

D. Lisinopril (ACE inhibitor): Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used for hypertension and does not affect serotonin.

A. Dopamine B. Serotonin C. Norepinephrine D. Histamine

Correct Answer is B

Explanation

A. Dopamine: Dopamine is mainly involved in motivation, pleasure, and movement. Deficiencies are linked to Parkinson’s disease and schizophrenia rather than sleep and memory issues.

B. Serotonin: Serotonin plays a major role in regulating sleep, mood, and cognitive function. Low serotonin levels are associated with depression, sleep disturbances, and memory problems.

C. Norepinephrine: Norepinephrine is involved in alertness and the fight-or-flight response. While it affects attention and arousal, its deficiency is less directly linked to sleep dysregulation and memory loss.

D. Histamine: Histamine is primarily involved in wakefulness and allergic responses. While it plays a role in arousal, it is not the primary neurotransmitter for sleep regulation and memory.

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Which action is the priority when providing care to a patient in the preoperative period?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following medications can cause serotonin syndrome?

Correct Answer is C

Explanation

A nurse is caring for a client who has sleep dysregulation, poor memory, and poor concentration. Which of the following neurotransmitters should the nurse identify as being responsible for the client's manifestations?

Correct Answer is B

Explanation

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