A nurse counsels a patient preparing for major abdominal surgery. She has been taking an oral contraceptive (OC) for 6 years. When discussing medication alterations, it is important that the nurse instruct the patient to
a. stop the oral contraceptives at least 4 weeks prior to surgery.
b. continue the oral contraceptives until the day prior to surgery.
c. continue the oral contraceptives through the surgical experience.
d. stop the oral contraceptives immediately after surgery.
ANS: A
The nurse should advise the patient to discontinue the OC at least 4 weeks prior to surgery to reduce the risk of thrombosis.
The OC should not be continued until the day prior to surgery, through the surgical experience, or stopped immediately after surgery.
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