A 44-year-old woman is scheduled for a simple mastectomy in one week. In the nurse's preoperative teaching, which educational intervention will be of primary importance to prevent hemorrhage in the postoperative period?

A) Limit her intake of green leafy vegetables
B) Increase her water intake to 8 glasses per day
C) Stop taking vitamin E one week before
D) Have nothing by mouth for 24 hours before surgery


Ans: C
Feedback: The nurse should instruct the patient to stop taking vitamin E because it has an anticoagulant effect. Limiting green leafy vegetables will decrease Vitamin K and increase bleeding. Increasing fluid intake or having no fluid 24 hours before surgery will have no effect on bleeding.

Nursing

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