A patient is admitted for hip surgery. The patient usually takes the following medications daily: an anticoagulant, a multivitamin, and vitamin E.
He stopped taking his anticoagulant 4 days ago as instructed by his surgeon, but has continued to take the multivitamin and vitamin E. An important collaborative problem or nursing diagnosis for this patient is which of the following?
a. Potential complication: anemia
b. Risk for infection related to inadequate anticoagulant dosage
c. Risk for noncompliance related to inability to follow instructions
d. Potential complication: increased bleeding
Question 2
A patient is admitted from a local skilled nursing facility to the outpatient surgery center for surgical debridement of a stage IV sacral pressure ulcer.
The perioperative nurse discovers that the patient does not have a signed consent form for the surgery on the chart or in the surgery center. The patient says that she has not talked to the surgeon and that she has many questions regarding her surgery. When informed of this, the surgeon tells the nurse to have the patient sign the informed consent form, and he will review it prior to the surgery. What should the nurse do?
a. Follow the surgeon's orders, and ask the patient to sign the surgical consent form.
b. Inform the surgeon that she will have the patient sign after he discusses the surgery with the patient.
c. Ensure that the signed surgical consent is witnessed by two nurses, because the surgeon is not available.
d. Cancel the surgery and transfer the patient back to the long-term care facility.
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