Author Question: The nurse is reviewing the physician's prescription sheet for the preoperative client, which states ... (Read 41 times)

kamilo84 · **on:** Jul 22, 2018

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)

Question 2

The client tentatively diagnosed with gout has received a prescription for colchicine. The nurse understands that colchicine is a(n):

1. Anti-inflammatory agent specific for gout
2. Nonsteroidal anti-inflammatory drug (NSAID)
3. Analgesic that relieves pain
4. Osmotic diuretic that facilitates the removal of uric acid

meow1234 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

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.

Answer to Question 2

1

Rationale: Colchicine is an anti-inflammatory agent whose effects are specific for gout. Colchicine is not an analgesic and does not relieve pain. It is not an NSAID or osmotic diuretic.