Author Question: A nurse is caring for several clients prior to surgery. Which medications taken by the clients ... (Read 179 times)

littleanan · **on:** Jun 25, 2018

A nurse is caring for several clients prior to surgery. Which medications taken by the clients require the nurse to consult with the physician about their administration? (Select all that apply.)

a. Metformin (Glucophage)
b. Omega-3 fatty acids (Sea Omega 30)
c. Phenytoin (Dilantin)
d. Pilocarpine hydrochloride (Isopto Carpine)
e. Warfarin (Coumadin)

Question 2

A nursing instructor is teaching students about different surgical procedures and their classifications. Which examples does the instructor include? (Select all that apply.)

a. Hemicolectomy: diagnostic
b. Liver biopsy: diagnostic
c. Mastectomy: restorative
d. Spinal cord decompression: palliative
e. Total shoulder replacement: restorative

kaillie · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A, C, D, E
Although the client will be on NPO status before surgery, the nurse should check with the provider about allowing the client to take medications prescribed for diabetes, hypertension, cardiac disease, seizure disorders, depression, glaucoma, anticoagulation, or depression. Metformin is used to treat diabetes; phenytoin is for seizures; pilocarpine is for glaucoma, and warfarin is an anticoagulant. The omega-3 fatty acids can be held the day of surgery.

Answer to Question 2

ANS: B, E
A diagnostic procedure is used to determine cell type of cancer and to determine the cause of a problem. An example is a liver biopsy. A restorative procedure aims to improve functional ability. An example would be a total shoulder replacement or a spinal cord decompression (not palliative). A curative procedure either removes or repairs the causative problem. An example would be a mastectomy (not restorative) or a hemicolectomy (not diagnostic). A palliative procedure relieves symptoms but will not cure the disease. An example is an ileostomy. A cosmetic procedure is done to improve appearance. An example is rhinoplasty (a nose job).