The nurse is reviewing the physician's prescription sheet for the preoperative client, which states that the client must be NPO after midnight

The nurse should clarify which of the following medications should be given to the client and not withheld? 1. Ferrous sulfate
2. Atenolol (Tenormin)
3. Cyclobenzaprine (Flexeril)
4. Conjugated estrogen (Premarin)


2

Rationale: Atenolol is a beta blocker. Beta blockers should not be stopped abruptly, and the physician should be contacted about the administration of this medication prior to surgery. If a beta blocker is stopped abruptly, the myocardial need for oxygen is increased. Cyclobenzaprine (Flexeril) is a skeletal muscle relaxant. Ferrous sulfate is an oral iron preparation used to treat iron deficiency anemia. Conjugated estrogen (Premarin) is an estrogen used for hormone replacement therapy in postmenopausal women. The other three medications may be withheld before surgery without undue effects on the client.

Nursing

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A nurse is caring for a patient with spinal cord compression from a tumor. The family asks the nurse why this happens. Which of the following is the nurse's best response?

A) There is not enough data to answer that question. B) Tumors arising within the epidural space through vertebral or lymphatic spread may cause spinal cord compression. C) More than 75% of cases are secondary to small cell or squamous cell lung cancers, and 10% to 15% are secondary to mediastinal lymphomas. D) This occurs because of a large amount of fluid in the spinal space.

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Melanocytes give rise to the pigment melanin, which is responsible for skin color. Where can the melanocytes be found?

a. Dermis b. Superficial fascia c. Epidermis d. Loose connective tissue

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Individual culture should be considered when planning an exercise program

Indicate whether the statement is true or false

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The nurse assesses a patient with light skin and observes normally shaped nail beds exhibiting pallor and a slight bluish color. Which should the nurse implement?

a. Provide a warm heating pad. b. Collaborate with the healthcare provider. c. Assess patient oxygen saturation. d. Check for restricted venous return.

Nursing