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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.

Want to practice more questions like this?

This question is from Custom FRIEDMAN-PHARM-CH 12-13-15 (Pain-Inflam-Immune) (1) which contains 52 questions.

More Questions from This Exam
A patient with acute gout asks you why allopurinol cannot be used at this time. What is your best response?

Answer Choices:

A. "Allopurinol can cause swelling of the feet, worsening your gout symptoms."
B. "Allopurinol is useful in rheumatoid arthritis, but not gout."
C. "Allopurinol does not lower uric acid levels."
D. "Allopurinol is used only for the prevention of gout attacks."
An LPN is preparing a patient for general anesthesia prior to surgery. Which of the following is the most important nursing intervention to reduce the risk of complications related to general anesthesia?

Answer Choices:

A. Ensure the patient has followed NPO (nothing by mouth) instructions for at least 6 to 8 hours before the surgery.
B. Instruct the patient to avoid all physical activity in the days leading up to surgery.
C. Encourage the patient to drink plenty of fluids after the procedure to prevent dehydration.
D. Administer a mild sedative prior to the anesthesia to reduce anxiety.
An LPN is preparing a patient for general anesthesia prior to surgery. Which of the following is the most important nursing intervention to reduce the risk of complications related to general anesthesia?

Answer Choices:

A. Ensure the patient has followed NPO (nothing by mouth) instructions for at least 6 to 8 hours before the surgery.
B. Instruct the patient to avoid all physical activity in the days leading up to surgery.
C. Encourage the patient to drink plenty of fluids after the procedure to prevent dehydration.
D. Administer a mild sedative prior to the anesthesia to reduce anxiety.
A patient with chronic arthritis pain reports taking acetaminophen 4 to 6 g/day for arthritis pain. Which health problem should you teach this patient that can occur as a result of taking this acetaminophen therapy?

Answer Choices:

A. "Chronic acetaminophen use can invoke asthma attacks."
B. "Diabetes is a complication that can result from long-term acetaminophen use."
C. "The use and overuse of acetaminophen can result in excessive bleeding."
D. "Liver toxicity can result as a result of high acetaminophen doses."
An LPN is caring for a patient who is receiving long-term corticosteroid therapy for chronic inflammation. Which of the following is the most important nursing implication to consider when planning care for this patient?

Answer Choices:

A. Encourage the patient to stop the corticosteroid therapy abruptly if they experience side effects like weight gain.
B. Monitor the patient's blood glucose levels, as corticosteroids can increase blood sugar.
C. Instruct the patient to take the corticosteroids with food to reduce the risk of gastrointestinal irritation.
D. Monitor the patient for signs of hypotension, as corticosteroids can lower blood pressure.
From Exam
Custom FRIEDMAN-PHARM-CH 12-13-15 (Pain-Inflam-Immune) (1)

52 Questions

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Question Details
  • Category: LPN Nursing Exam(s)
  • Subcategory: LPN ATI Exams
  • Domain: Pharmacology
  • Answer Choices: 4
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