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 ["C","E"]
Explanation
A. Explaining the risks and benefits of the procedure is generally the responsibility of the surgeon or the healthcare provider who will perform the procedure. They are in the best position to provide detailed and specific information about the procedure, including potential complications and benefits.
B. Similar to explaining the risks and benefits, discussing alternatives is usually done by the surgeon or the provider. The nurse should ensure that the client is aware that alternatives are available and that this information has been provided by the appropriate medical professional.
C. It is the responsibility of the surgeon or the healthcare provider to obtain informed consent. However, the nurse should confirm that the consent process has been completed. This means ensuring that the consent form is signed and that the client has been properly informed. While the nurse does not obtain consent, they verify that it has been done correctly.
D. Describing the consequences of not undergoing the surgery is part of the informed consent process and is generally the responsibility of the surgeon. The nurse should ensure that this information has been communicated to the client by the appropriate provider.
E. The nurse often acts as a witness to the client’s signature on the consent form. This involves confirming that the client has signed the form voluntarily and after being fully informed. The nurse’s role in this process is to ensure the proper documentation and verification that the consent has been given.
Correct Answer is B
Explanation
A. Administering preoperative medications is a nursing responsibility but not directly related to informed consent.
B. Witnessing the patient's signature is the nurse's primary responsibility regarding informed consent in the preoperative period. This verifies that the patient understands the procedure and voluntarily agrees to it.
C. Explaining the surgical procedure is the responsibility of the surgeon or physician.
D. Monitoring vital signs is a postoperative responsibility.
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