The nurse is performing a preoperative assessment on a patient scheduled for surgery today
The patient reports a history of drinking 2 glasses of wine daily, smoking cigarettes for 20 years, completing a round of corticosteroids for asthma control 2 days ago, and taking the last dose of passion flower extract yesterday. The nurse's best action is: a. supply the patient with information on a smoking cessation class.
b. warn the patient regarding the dangers of drinking alcohol on a daily basis.
c. provide the patient with information re-garding the use of herbal medications.
d. notify the physician immediately regard-ing the recent use of corticosteroids.
D
The use of corticosteroids reduces the body's response to infection and delays healing. Surgery may need to be delayed until the patient has been off the drug approximately 7 days. Providing the patient with information regarding smoking cessation is advisable but is not a priority at this time. Drinking 2 glasses of wine daily may not be a problem if not contraindicated by the pa-tient's health status. Passion flower extract does not interfere with the surgery and poses no ap-parent problems.
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