The client asks his nurse why he was told to avoid aspirin and other salicylates for 2 weeks before surgery. What is the nurse's best response?
A. "These drugs can counteract the effects of certain anesthetics."
B. "These drugs decrease platelet aggregation and increase your risk for excessive bleeding."
C. "These drugs are toxic to white blood cells and increase your risk for developing an infection."
D. "These drugs inhibit the bone marrow from making new blood cells and increase your risk for anemia."
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 effects last for more than a week after just one dose of aspirin.
You might also like to view...
Following an extensive diagnostic workup, a 20-year-old man has been diagnosed with bipolar disorder and begun lithium therapy. The nurse's priority assessment in the care of the patient is
A) close monitoring of deep tendon reflexes cranial nerve function. B) careful monitoring of the patient's serum lithium levels. C) assessment of the patient's renal and hepatic function. D) assessment of the patient for signs and symptoms of hypocalcemia and hypophosphatemia.
A client with hyperlipidemia, treated with dietary fat restrictions and an exercise program, asks the nurse why his serum lipid levels are still elevated. What is the nurse's best response?
A. "You may need to restrict your fat intake to less than 30% of total calories." B. "You may have a genetic predisposition to hyperlipidemia." C. "Your arteries may already be damaged." D. "You may need to lose some weight to lower your cholesterol levels."
A young women in labor, G1P0, is diagnosed with pregnancy-induced hypertension (PIH). She is ordered to receive magnesium sulfate. What are the other components of her nursing care? (Select all that apply.)
a. Maintaining a quiet environment b. Assessing vital signs and fetal heart tones frequently c. Providing large amounts of PO and IV fluids to maintain fluid volume d. Allowing the woman to ambulate ad lib e. Assessing for clonus and deep tendon reflexes f. Monitoring urine hourly for protein
A patient with polycystic ovary syndrome (PCOS) asks the nurse what she can do to improve her chances of getting pregnant. Which statement by the patient indicates a need for further teaching?
a. "Clomiphene will help induce ovulation but will not treat the other symptoms of polycystic ovarian disease." b. "If I lose weight, my infertility and irregular periods could resolve without medications." c. "Metformin improves insulin sensitivity and reduces male hormone levels." d. "Spironolactone, which reduces androgens and facial hair, is helpful if I'm trying to conceive."