Which of the following medications from a client's medication list would increase their surgical risk?
Lisinopril
Acetaminophen
Aspirin
Metoprolol
The Correct Answer is C
A. Lisinopril is an ACE inhibitor used to treat hypertension and heart failure. It can affect blood pressure regulation and might impact intraoperative and postoperative blood pressure control, but it is not generally associated with increased surgical bleeding risk.
B. Acetaminophen is a pain reliever and antipyretic used for mild to moderate pain and fever. It does not have a significant impact on bleeding risk or interfere with clotting mechanisms. It is generally considered safe for use around the time of surgery.
C. Aspirin is an antiplatelet medication that inhibits platelet aggregation and can increase the risk of bleeding. It affects blood clotting and can lead to excessive bleeding during and after surgery. It is often recommended to stop aspirin use several days before surgery to reduce this risk, unless specifically directed otherwise by the healthcare provider.
D. Metoprolol is a beta-blocker used to manage hypertension and heart conditions. It is generally not associated with increased bleeding risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. This is caused by an increase in acid or a loss of bicarbonate. Vomiting does not typically lead to this.
B. This is caused by a buildup of carbon dioxide in the blood, usually due to inadequate breathing.
C. This is caused by hyperventilation and excessive loss of carbon dioxide.
D. This is caused by a loss of acid or an increase in bicarbonate. Vomiting can lead to a loss of stomach acid, resulting in metabolic alkalosis.
Correct Answer is ["675"]
Explanation
1 kilogram is approximately 2.2 pounds.
The client weighs 198 pounds, which is equivalent to about 90 kilograms (198 lb / 2.2).
Next, multiply the client's weight in kilograms by the dosage prescribed, which is 15 mg/kg/day. This results in a total daily dosage of 1350 mg (90 kg * 15 mg/kg). Since the medication is to be administered every 12 hours, divide the total daily dosage by 2 to get the amount for each dose. Therefore, the nurse should administer 675 mg every 12 hours.
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