The nurse is taking a medication history of a client scheduled for surgery the next morning. Which medication requires the nurse to immediately notify the surgeon?

Warfarin (Coumadin)

Gabapentin (Neurontin)

Xanax (Alprazolam)

Atenolol (Tenormin)

Answer and Explanation

The Correct Answer is A

A. Warfarin (Coumadin): This is the correct choice. Warfarin is an anticoagulant that increases the risk of bleeding during and after surgery. The surgeon needs to be notified to consider holding the medication and to adjust the surgical plan if necessary.
B. Gabapentin (Neurontin): While important for pain management, it does not significantly impact surgical procedures or bleeding risk.
C. Xanax (Alprazolam): This medication is a benzodiazepine used for anxiety, which might be relevant for preoperative anxiety but does not require immediate notification of the surgeon.
D. Atenolol (Tenormin): This beta-blocker is used for hypertension and heart conditions but does not require immediate notification of the surgeon unless there are specific cardiac concerns related to surgery.

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Correct Answer is C

Explanation

A. Serum glucose and a Complete Blood Count: While a complete blood count (CBC) is useful in assessing overall health, serum glucose is less relevant in the context of renal disease. The focus should be on kidney function rather than glucose levels.
B. Arterial blood gas and coagulation tests: Arterial blood gas (ABG) and coagulation tests may be important for other conditions, but they are not specifically targeted to evaluate renal function or related preoperative risks in renal disease.
C. Serum creatinine and a Basic Metabolic Panel: This is the correct choice as serum creatinine is a key marker of kidney function, and a Basic Metabolic Panel (BMP) provides information on electrolyte levels and overall metabolic status, which are crucial in evaluating the impact of renal disease on surgery.
D. Chest X-ray and cardiac enzymes: These tests are more relevant for evaluating cardiac function and lung status rather than directly assessing kidney function, which is the primary concern in the context of renal disease.

A. Furosemide (Lasix) B. Diazepam (Valium) C. Calcium gluconate D. Calcitonin

Correct Answer is C

Explanation

A. Furosemide (Lasix): This is a diuretic used to treat fluid retention and does not address the symptoms related to calcium imbalances.
B. Diazepam (Valium): This is an anxiolytic and does not address the symptoms associated with hypocalcemia following a thyroidectomy.
C. Calcium gluconate: This is the appropriate medication for treating hypocalcemia, which can occur after a thyroidectomy due to potential damage to or removal of parathyroid glands, leading to symptoms such as abdominal cramping and irregular heart rate.
D. Calcitonin: While this hormone helps regulate calcium levels, it is more commonly used to treat hypercalcemia, not hypocalcemia.

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The nurse is taking a medication history of a client scheduled for surgery the next morning. Which medication requires the nurse to immediately notify the surgeon?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

Correct Answer is C

Explanation

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