Which of the following medications from a client's medication list would increase their surgical risk?

Lisinopril

Acetaminophen

Aspirin

Metoprolol

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. This is associated with iron deficiency anemia, not COPD.
B. While peripheral edema can occur in advanced COPD due to right-sided heart failure (cor pulmonale), it's not a typical early finding.
C. This is associated with inflammation of the pleural layers, typically due to pneumonia or pleurisy, not COPD.
D. Barrel chest is a classic sign of COPD, resulting from air trapping in the lungs, causing the chest to become hyperinflated

A. "I will perform deep breathing exercises only when the pain is minimal." B. "I will perform deep breathing exercises every hour while awake." C. “I will perform coughing exercises only if I feel short of breath." D. "I will avoid deep breathing exercises to prevent straining my incision."

Correct Answer is B

Explanation

A. Deep breathing exercises should be performed regularly, regardless of the level of pain. The exercises are crucial for preventing lung complications, and pain management should be addressed so that the client can perform these exercises effectively.
B. This statement reflects a proper understanding of the importance of regular deep breathing exercises. Performing these exercises every hour while awake helps to keep the alveoli open and reduces the risk of atelectasis and pneumonia. Consistent practice is essential for maximizing lung expansion and preventing complications.
C. Coughing exercises should be performed regularly, not just when experiencing shortness of breath. Coughing helps to clear secretions from the airways and prevent their accumulation, which can lead to respiratory infections and other complications.
D. Avoiding deep breathing exercises is not advisable. While there may be some discomfort, deep breathing is essential for lung health post-operatively. The exercises help prevent complications such as atelectasis.

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Which of the following medications from a client's medication list would increase their surgical risk?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has COPD. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

The nurse emphasizes the importance of deep breathing and coughing exercises post-operatively to prevent complications. Which statement by the client indicates understanding of these exercises?

Correct Answer is B

Explanation

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