Answer to Question 1
A
Garlic lowers blood pressure and blood lipids, but inhibits platelet aggregation and may prolong bleeding time. The physician needs to be notified prior to surgery to assess the client for bleeding during the post-operative period.
There is no evidence to suggest that garlic can cause severe hypotension in a hypertensive client.
Garlic is not know to cause nausea and vomiting.
Garlic is not known to treat depression. St. John's wort is taken by clients experiencing depres-sion.
Answer to Question 2
A, B, C, F
Caffeine, alcohol, and nicotine consumed late in the evening produce insomnia. Worry over personal problems or situations frequently disrupts sleep. Alterations in routines, including changing mealtimes and staying up late at night for social activities, can disrupt sleep. Exercising 2 hours before bedtime actually increases a sense of fatigue and promotes relaxation. Taking an antacid does not decrease sleep.
Open Heart Surgery
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Some peritoneal surgery is done laproscopically.
Example of simplified note for one-time client.
The nurse begins the general survey