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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. The correct actions to take include staying with the client for the first 15-30 minutes after starting the transfusion, not just the first 10 minutes, to monitor for any adverse reactions.
B. It is also crucial to use 0.9% sodium chloride solution, not 5% dextrose in water, to flush the transfusion tubing.
C. It is a standard practice to have two nurses check the blood unit label to verify the correct blood type and compatibility before administration.
D. The transfusion should not be rushed over 1 hour; instead, it should be administered over a period of 2-4 hours, depending on the patient's condition and the volume of PRBCs to be transfused.

A. Metabolic Acidosis B. Respiratory acidosis C. Respiratory alkalosis D. Metabolic alkalosis

Correct Answer is D

Explanation

A. This is caused by an increase in acid or a loss of bicarbonate. Vomiting does not typically lead to this.
B. This is caused by a buildup of carbon dioxide in the blood, usually due to inadequate breathing.
C. This is caused by hyperventilation and excessive loss of carbon dioxide.
D. This is caused by a loss of acid or an increase in bicarbonate. Vomiting can lead to a loss of stomach acid, resulting in metabolic alkalosis.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 planning to administer a unit of PRBCS for a client. Which of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

A nurse is caring for a client who has nausea and is vomiting. The nurse should identify the client is at risk for which of the following acid-base imbalances?

Correct Answer is D

Explanation

During the preoperative period, what is the nurse's responsibility regarding informed consent?

A nurse is caring for a client with a tracheostomy. The client's partner has been taught to perform suctioning. Which of the following actions by the partner should indicate to the nurse a readiness for the client's discharge?

The nurse emphasizes the importance of deep breathing and coughing exercises post-operatively to prevent complications. Which statement by the client indicates understanding of these exercises?

A nurse is performing tracheostomy care for a client and suctioning to remove copious secretions. Which of the following actions should the nurse take?

A nurse is caring for a client who is receiving a unit of PRBCs. The nurse suspects the client is experiencing a transfusion reaction. Which of the following actions should the nurse take first?

Which blood gas result will the nurse expect to observe in a patient with respiratory alkalosis?

A nurse is teaching a client who has COPD about purse-lipped breathing. Which of the following statements should the nurse make?

A nurse is caring for a client who has a chest tube. Which of the following actions should the nurse take?