A patient is scheduled for surgery this morning and the nurse is administering the morning medications.

Which scheduled morning medication should the nurse withhold and not administer on the morning of surgery?

Metformin

Metoprolol

Prednisone

Levothyroxine

Answer and Explanation

The Correct Answer is A

Choice A rationale
Metformin is an oral antidiabetic medication that is typically withheld on the morning of surgery due to the risk of lactic acidosis, especially if the surgery involves the use of contrast dye.
Choice B rationale
Metoprolol is a beta-blocker used to treat hypertension and other heart conditions. It is typically continued up to and including the day of surgery to maintain heart rate and blood pressure control.
Choice C rationale
Prednisone is a corticosteroid medication. If a patient is on long-term corticosteroid therapy, it is typically continued on the day of surgery to prevent adrenal insufficiency.
Choice D rationale
Levothyroxine is a thyroid hormone replacement medication. It is typically continued on the day of surgery to maintain thyroid hormone levels.

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Correct Answer is A

Explanation

Choice A rationale
Misoprostol is a medication that can help protect the stomach lining and reduce the risk of gastric irritation and ulcers caused by NSAIDs.
Choice B rationale
Ranitidine is a type of antacid that can help reduce stomach acid and relieve symptoms of heartburn, but it does not specifically protect the stomach lining from the effects of NSAIDs.
Choice C rationale
Sucralfate is a medication that can help treat and prevent ulcers in the stomach and intestines, but it does not specifically protect the stomach lining from the effects of NSAIDs.
Choice D rationale
Esomeprazole is a proton pump inhibitor that can reduce stomach acid and relieve symptoms of gastroesophageal reflux disease (GERD), but it does not specifically protect the stomach lining from the effects of NSAIDs. Prednisone Prednisone Explore

A. Attach a continuous pulse oximetry probe to the patient’s finger. B. Set the IV pump to deliver the medication over a span of 30 minutes. C. Connect the patient to a continuous cardiac monitor. D. Evaluate the patient’s sodium and calcium levels.

Correct Answer is D

Explanation

Choice A rationale
While continuous pulse oximetry can provide useful information about a patient’s oxygen saturation levels, it is not the most crucial step before administering amphotericin B. Amphotericin B is an antifungal medication used to treat serious, potentially life-threatening fungal infections. It does not directly affect oxygen saturation levels.
Choice B rationale
The rate at which amphotericin B is administered can be important, as the medication must be given slowly through an IV infusion, which can take from 2 to 6 hours to complete. However, setting the IV pump to deliver the medication over a specific span of time is not the most crucial step before administration.
Choice C rationale
Continuous cardiac monitoring can be important in certain situations, but it is not the most crucial step before administering amphotericin B. While amphotericin B can cause some side effects related to the heart, such as changes in heart rate or blood pressure, these are not typically the primary concerns before administration.
Choice D rationale
Evaluating the patient’s sodium and calcium levels is the most crucial step before administering amphotericin B. Amphotericin B can cause changes in electrolyte levels, including sodium and calcium. Monitoring these levels can help prevent potential complications, making this the most crucial step before administration.

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A patient is scheduled for surgery this morning and the nurse is administering the morning medications. Which scheduled morning medication should the nurse withhold and not administer on the morning of surgery?

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A patient is scheduled for surgery this morning and the nurse is administering the morning medications.

Which scheduled morning medication should the nurse withhold and not administer on the morning of surgery?