Practice Question
An LPN is preparing a patient for surgery who is currently taking NSAIDs (nonsteroidal anti-inflammatory drugs). Which of the following is the most important nursing action before the procedure?
Answer Choices:
Correct Answer:
Advise the patient to stop taking NSAIDs at least 72 hours before the surgery to reduce the risk of bleeding.
Rationale:
🩸Many NSAIDs inhibit cyclooxygenase, impairing platelet aggregation and increasing intraoperative/ postoperative bleeding risk.
🩸A pre-op hold of about 72 hours (or longer, per agent half-life and surgeon/anesthesia guidance) reduces bleeding risk and improves hemostasis.
🩸Patients should be instructed to disclose all OTCs/herbals (e.g., fish oil, ginkgo) that may also affect coagulation.
🩸The exact discontinuation window can vary (e.g., aspirin often longer), so confirm with the surgical team for agent-specific recommendations.
🩸Document education and notify the team if recent NSAID use occurred so perioperative plans can be adjusted.
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This question is from Custom FRIEDMAN-PHARM-CH 12-13-15 (Pain-Inflam-Immune) (1) which contains 52 questions.
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From Exam
Custom FRIEDMAN-PHARM-CH 12-13-15 (Pain-Inflam-Immune) (1)
52 Questions
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- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Pharmacology
- Answer Choices: 4