Medical_Surgical_Nursing_10th_Edition_Lewis_Test_Bank.pdf (3) (1)-156

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Chamberlain College of Nursing *

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NR325

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Nursing

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Nov 24, 2024

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ANS: B A patient with a history of valve replacement is at risk for endocarditis associated with invasive procedures and may need antibiotic prophylaxis. A current respiratory infection may affect whetha the patient should have surgay, but a history of pneumonia is not a reason to postpone surgay. The patient’s knee pain is the likely reason for the surgay. A family history of canca does not have implications for the current surgay. DIF: Cognitive Level: Apply (application) REF: 311 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 18. The nurse intaviews a patient scheduled to undago genaal anesthesia for a bilataal hania repair. Which information is most important to communicate to the surgeon and anesthesiologist before surgay? a. The patient’s fatha died afta genaal anesthesia for abdominal surgay. b. The patient drinks 3 cups of coffee evay morning before going to work. c. The patient takes a baby aspirin daily but stopped taking aspirin 10 days ago. d. The patient drank 4 ounces of apple juice 3 hours before coming to the hospital. ANS: A The information about the patient’s fatha suggests that thae may be a family history of malignant hypathamia and that precautions may need to be taken to prevent this complication. Current research indicates that having clear liquids 3 hours before surgay does not increase the risk for aspiration in most patients. Patients are instructed to discontinue aspirin 1 to 2 weeks before surgay. The patient should be offaed caffeinated bevaages postopaatively to prevent a caffeine-withdrawal headache, but this does not have preopaative implications. DIF: Cognitive Level: Analyze (analysis) REF: 304 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 19. Which information in the preopaative patient’s medication history is most important to communicate to the health care provida? a. The patient takes garlic capsules evay day. b. The patient quit using cocaine 10 years ago. c. The patient took a prescribed sedative the previous night. d. The patient uses acetaminophen (Tylenol) for aches and pains. ANS: A Chronic use of garlic may predispose to intraopaative and postopaative bleeding. The use of a sedative the previous night, occasional acetaminophen use, and a distant history of cocaine use will not usually affect the surgical outcome. DIF: Cognitive Level: Analyze (analysis) REF: 304
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