Which of the following medications from a client's medication list would increase their surgical risk?

Lisinopril

Acetaminophen

Aspirin

Metoprolol

Answer and Explanation

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.

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Correct Answer is ["675"]

Explanation

1 kilogram is approximately 2.2 pounds.

The client weighs 198 pounds, which is equivalent to about 90 kilograms (198 lb / 2.2).

Next, multiply the client's weight in kilograms by the dosage prescribed, which is 15 mg/kg/day. This results in a total daily dosage of 1350 mg (90 kg * 15 mg/kg). Since the medication is to be administered every 12 hours, divide the total daily dosage by 2 to get the amount for each dose. Therefore, the nurse should administer 675 mg every 12 hours.

A. Lubricate the suction catheter tip with sterile saline. B. Hyperoxygenate the patient with 100% oxygen for at least 30 to 60 seconds before suctioning. C. Perform chest physiotherapy prior to suctioning. D. Instill-normal saline instillation into the airway before endotracheal suctioning.

Correct Answer is B

Explanation

A. Lubricating the suction catheter tip with sterile saline is generally not recommended. The catheter tip is usually not lubricated before suctioning. Instead, suctioning should be performed using a dry, sterile catheter to prevent introducing any substances into the airway that could cause irritation or infection.
B. Hyperoxygenating the patient with 100% oxygen before suctioning is a crucial step. This helps to prevent hypoxia during the suctioning procedure, as suctioning can temporarily reduce the oxygen levels in the blood. By providing 100% oxygen for 30 to 60 seconds, the nurse ensures that the patient has an adequate oxygen reserve and reduces the risk of oxygen desaturation during suctioning.
C. Performing chest physiotherapy is not a routine pre-suctioning action and is generally done as part of a separate management strategy for clearing secretions. Chest physiotherapy involves techniques such as percussion, vibration, and postural drainage to help mobilize secretions from the lungs.
D. Instilling normal saline into the airway before suctioning (known as “normal saline lavage”) is not recommended. This practice can actually cause harm, such as increasing the risk of infection, causing bronchospasm, and diluting secretions which may then become more difficult to suction.

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Which of the following medications from a client's medication list would increase their surgical risk?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["675"]

Explanation

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Correct Answer is B

Explanation

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