A client who takes furosemide (Lasix) and propranolol (Inderal) is scheduled for breast reconstruction surgery. Which additional client information requires prompt collaboration with the healthcare provider before surgery?

Serum potassium 3.2 mEq/L

Pulse rate 65 bpm

Hematocrit 36%

Blood pressure 144/82 mmHg

Answer and Explanation

The Correct Answer is A

A. Serum potassium 3.2 mEq/L: A serum potassium level of 3.2 mEq/L is below the normal range (3.5-5.0 mEq/L) and indicates hypokalemia, which can cause serious cardiac arrhythmias and muscle weakness. This condition requires prompt correction and collaboration with the healthcare provider before surgery to avoid intraoperative and postoperative complications.
B. Pulse rate 65 bpm: A pulse rate of 65 bpm is within the normal range (60-100 bpm). While it should be monitored, it does not require immediate intervention or collaboration with the healthcare provider before surgery.
C. Hematocrit 36%: A hematocrit level of 36% is within the lower end of the normal range (35-45% for women). This does not indicate an immediate concern that requires prompt collaboration with the healthcare provider.
D. Blood pressure 144/82 mmHg: Although this blood pressure reading is slightly elevated, it is not uncommon and can be managed perioperatively. It does not require immediate intervention before surgery.

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Correct Answer is D

Explanation

A. The 22-year-old client who does not understand English: This client can still consent legally if provided with a translator or interpreter to ensure understanding.
B. The 17-year-old client who has two fractured wrists: This client is a minor and would typically need a legal guardian to consent, but their ability to consent is not the primary issue here.
C. The 65-year-old client who cannot read or write: Literacy issues do not necessarily preclude the ability to understand and consent, especially if the consent process is explained to them.
D. The 80-year-old client who is not oriented to the day: This client lacks orientation and thus may not be able to fully understand or make an informed decision about the surgery, affecting their ability to consent legally.

A. Non-steroidal anti-inflammatory drugs B. Cyclooxygenase-2 inhibitors C. Opioid analgesics D. Non-opioid pain medications

Correct Answer is C

Explanation

A. Non-steroidal anti-inflammatory drugs: These typically cause gastrointestinal upset and potential bleeding but are less likely to cause respiratory depression, constipation, or hypotension.
B. Cyclooxygenase-2 inhibitors: These are a subset of NSAIDs with fewer gastrointestinal side effects but do not generally cause respiratory depression or hypotension.
C. Opioid analgesics: This is the correct choice. Opioid analgesics are known to cause respiratory depression, constipation, nausea, vomiting, and hypotension.
D. Non-opioid pain medications: These include medications like acetaminophen and NSAIDs, which are less likely to cause respiratory depression or hypotension.

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A client who takes furosemide (Lasix) and propranolol (Inderal) is scheduled for breast reconstruction surgery. Which additional client information requires prompt collaboration with the healthcare provider before surgery?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is asked to witness surgical consent forms were obtained for clients, in the preoperative holding area. What client would not be able to consent legally to surgery?

Correct Answer is D

Explanation

A client is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. Which class of analgesics did this client most likely receive?

Correct Answer is C

Explanation

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