A patient who uses multiple herbal products is scheduled for knee replacement surgery. Which herbal products should the nurse instruct the patient to discontinue at least 2 to 3 weeks before surgery (select all that apply)?
a. Garlic
b. Ginger
c. Feverfew
d. Echinacea
e. Ginkgo biloba
ANS: A, B, C, E
Feverfew, ginger, garlic, and ginkgo biloba all prolong bleeding time and should be discontinued 2 to 3 weeks before surgery. Echinacea is usually safe to continue, but if the patient has an upper respiratory tract infection, he or she probably should not have surgery.
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In March 2002, the Joint Commission, together with the Centers for Medicare and Medicaid Services, launched SPEAK UP, a national campaign with the ultimate goal of preventing medical errors
What means to achieving this goal does the SPEAK UP campaign propose? A) Encouraging patients to become informed and involved in their care B) Requiring nurses and other care providers to document the patient education that they provide C) Establishing patient education as a requirement for Medicare reimbursement D) Allowing patients to make informed choices about the interventions that they prefer
A patient with chronic obstructive pulmonary disease (COPD) says, "I have to rest a lot. It just wears me out trying to breathe." The nurse interprets this statement to mean the patient has difficulty with which respiratory process?
1. Perfusion 2. Diffusion 3. Ventilation 4. Consumption
The nurse observes flaring of nares in a newborn. This should be interpreted as:
a. nasal occlusion. b. sign of respiratory distress. c. common response to sneezing. d. snuffles of congenital syphilis.
Which organism or disorder is responsible for many cases of PUD?
a. H. pylori b. Candida albicans c. Escherichia coli d. Herpes zoster