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Author Question: The nurse is reviewing the patient's current medications as a part of preparation for an elective ... (Read 85 times)

hbsimmons88

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on: Jun 25, 2018
The nurse is reviewing the patient's current medications as a part of preparation for an elective surgery. What information should the nurse reinforce with the patient?
 
  1. Continue to take your regular prescribed dose of warfarin (Coumadin).
  2. You may take your regular herbal supplements up until the day before surgery.
  3. Discontinue your antihypertensive medications two days prior to surgery.
  4. Stop taking your daily aspirin at least three days prior to surgery.

Question 2

A patient is scheduled to have a hernia repair done today on an outpatient basis. The patient's sibling angrily says, When I had this done 20 years ago, they kept me in the hospital nearly a week.
 
  Why can't my brother stay here where someone can take care of him? What are appropriate responses by the nurse?
 
  1. He will be at less risk of getting an infection at home.
  2. He will probably be more comfortable in his own bed at home.
  3. It is cheaper for the insurance company if he goes home today.
  4. The government won't let him stay.
  5. If you ask the physician, the hospital will probably let him stay.


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ciecieme

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Reply #1 on: Jun 25, 2018
Answer to Question 1

Correct Answer: 4

Anticoagulant medications, including warfarin (Coumadin) and aspirin, should be discontinued prior to surgery to prevent excessive blood loss during surgery. Herbs or nutritional supplements that impair clotting should be discontinued 2 weeks prior to surgery. Antihypertensive medications will be analyzed by the healthcare provider on an individual basis.

Answer to Question 2

Correct Answer: 1, 2

The best answers to this angry sibling focus on what is best for the patient, so replying about reduction of infection risk and comfort are the best choice. While it is probably cheaper for the insurance company for the patient to go home and there are governmental regulations about hospital admission and Medicare, this is not the best time to bring those concepts into the conversation. It is also not advisable to infer that the hospital has a decision to make in whether this patient stays or goes home.


hbsimmons88

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Reply #2 on: Jun 25, 2018
Correct answers!


ciecieme

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Reply #3 on: Jun 25, 2018
Great! Please up vote :D


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