A woman scheduled for a simple mastectomy in one week is having her preoperative education provided by the clinic nurse. What educational intervention will be of primary importance to prevent hemorrhage in the postoperative period?
Stop taking aspirin
Increase her water intake to 8 glasses per day
Limit her intake of leafy vegetables
Have nothing by mouth before surgery
The Correct Answer is A
Choice A reason: Aspirin inhibits platelet aggregation and increases bleeding risk. Discontinuing it preoperatively is essential to reduce the chance of hemorrhage.
Choice B reason: Hydration is important for general health but does not directly impact bleeding risk.
Choice C reason: Leafy vegetables contain vitamin K, which affects clotting, but limiting them is not a standard preoperative intervention unless the client is on warfarin.
Choice D reason: NPO status is important to prevent aspiration during anesthesia but does not address hemorrhage risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Iron deficiency anemia is characterized by fatigue, low serum iron and ferritin, and pica—cravings for non-nutritive substances like ice or dirt. These findings align directly with the client’s symptoms.
Choice B reason: Pernicious anemia is caused by vitamin B12 deficiency and presents with neurological symptoms and macrocytic anemia, not pica or low ferritin.
Choice C reason: Hemolytic anemia involves destruction of red blood cells and typically presents with jaundice, dark urine, and elevated bilirubin—not low iron or pica.
Choice D reason: Sickle cell disease is a genetic disorder with vaso-occlusive crises and hemolysis, but it does not present with low iron or cravings for non-food items.
Correct Answer is A
Explanation
Choice A reason: Famotidine is an H2 receptor antagonist that reduces gastric acid production, helping treat conditions like GERD, ulcers, and acid indigestion.
Choice B reason: Famotidine is not required for digestion; it inhibits acid production rather than contributing to enzymatic breakdown of food.
Choice C reason: Famotidine does not affect the mechanical mixing of food and gastric secretions. Its role is limited to acid suppression.
Choice D reason: Famotidine does not aid in food breakdown directly. Digestive enzymes like pepsin and amylase perform that function.
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