The nurse is caring for a 54-year-old client with a history of ...

[Jramos095]

The nurse is caring for a 54-year-old client with a history of smoking one pack of cigarettes per day diagnosed with early stages of emphysema.
 
  What preoperative screening tests would the nurse anticipate this client will require? Select all that apply. Standard Text: Select all that apply. 1. Complete blood count
  2. Chest x-ray
  3. Electrocardiogram
  4. Urine culture and sensitivity
  5. ALT, AST, LDH, and bilirubin

Question 2

The nurse is following up with a client who was begun on antipsychotic medication last week to treat schizophrenia symptoms. The client says, That medicine makes my mouth dry, and it's not helping me at all, so I want to stop taking it.
 
   The nurse's best response is: 1. You should need talk with the doctor before stopping the medication.
  2. You have the right to refuse your medication if you think that is best.
  3. You need to take this medicine for at least 3-6 weeks before it will be effective.
  4. You should not stop this medication suddenly, or it can have negative effects.

[kardosa007]

Answer to Question 1

1,2,3
Rationale: This client is at increased risk for respiratory infections and polycythemia secondary to smoking, so a CBC would be indicated. A chest x-ray is needed by anesthesiology in order to determine the safety of administering inhaled anesthetics. ECG is indicated due to risk of cardiac damage secondary to smoking. A urine culture and liver enzymes are not indicated by this client's condition unless secondary problems exist.

Answer to Question 2

3
Rationale: The nurse should explain that antipsychotic medications do not begin to work immediately but must establish a blood level over 3-6 weeks before effects will be seen, and then encourage the client not to give up, and provide options for coping with side effects.

[Jramos095]

Excellent

Gracias!