The nurse is completing the preoperative checklist on a client. The client states, "I take an aspirin every day for my heart." How does the nurse respond?
a. "I will call your doctor and request a pre-scription for pain medication."
b. "I need to call the surgeon and reschedule your surgery."
c. "I'll give you the prescribed Tylenol to minimize any headache before surgery."
d. "I need to administer vitamin K to prevent bleeding during the procedure."
B
Aspirin and other salicylates interfere with platelet aggregation—the first step in the blood-clotting cascade—and decrease the ability of the blood to form a platelet plug. These ef-fects last for longer than 1 week after just one dose of aspirin. The client may need to have the surgery rescheduled. Vitamin K, prescribed pain medication, and Tylenol cannot reduce the anti-clotting effects of aspirin.
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