A patient is prescribed ibuprofen (Advil) 200 mg four times a day as needed for inflammation and pain related to arthritis. The patient is scheduled for oral surgery. What priority teaching does the nurse provide for this patient?
a. "The Advil will help relieve your pain after surgery."
b. "Report any bruising to your prescriber immediately."
c. "Ask about having the injectable form of this drug after surgery."
d. "Stop taking this drug at least 1 week before your scheduled surgery."
D
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID). These drugs inhibit the action of the COX enzyme. Reduced activity of COX-1 decreases platelet clumping and can reduce blood clotting for up to 1 week. Any patient taking a COX-1 NSAID is at increased risk for bleeding and should stop taking the drug a week or more before surgery. There is no injectable form of ibuprofen.
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The nurse is caring for a client diagnosed with an acoustic neuroma. Which assessment finding does the nurse anticipate when receiving shift report that is not related to hearing?
A) Impaired facial movement and numbness and tingling B) Stroke like symptoms with bilateral facial droop C) Difficulty swallowing D) Inability to smell scents
A cup of frozen yogurt contains 24 g carbohydrate, 2 g fat, and 4 g protein. The total number of kcals in the frozen yogurt is
a. 110. b. 130. c. 140. d. 162.
A clinic patient is experiencing an allergic reaction to an unknown allergen. Which action is most appropriate for the registered nurse (RN) to delegate to a licensed practical/vocational nurse (LPN/LVN)?
a. Perform a focused physical assessment. b. Obtain the health history from the patient. c. Teach the patient about the various diagnostic studies. d. Administer skin testing by the cutaneous scratch method.
A patient has been admitted to the detoxification unit after binge drinking. Even though the patient is not currently intoxicated, he is combative and exhibits altered thought processes. Which nursing diagnosis would be the priority?
A) Risk for Injury related to effects of alcohol abuse B) Risk for Self-Mutilation related to alcohol withdrawal and altered thought processes C) Risk for Other-Directed Violence related to alcohol withdrawal D) Risk for Delayed Development related to chronic effects of alcohol intoxication