A woman, scheduled for a simple mastectomy in one week, is having her preoperative teaching done by the clinic nurse. What 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. Vitamin E has an anticoagulant effect. Limiting green leafy vegetables will decrease vitamin K and increase bleeding. Increasing fluid intake or being without fluid 24 hours before surgery will have no effect on bleeding.
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