A nurse is obtaining a medication history from a client who is scheduled to

undergo cataract surgery. The nurse should recognize that which of the

following client medications is a contradiction for the surgery and

notify the provider? Warfarin. Warfarin increases the client's risk for

bleeding, and is contraindicated for a client scheduled for eye or

central nervous system surgery.

Osteomyelitis gentamicin prescription withhold: serum creatinine

(nephrotoxic). High temp, BP, and WBC expected.

A nurse is providing discharge teaching to a client who is to self administer

heparin subcut. Understanding of the teaching? ANS: I will use an electric

razor to shave. Heparin is an anticoagulant that places the client at the risk

for bleeding. Therefore, the nurse should instruct the client to use an electric

razor when shaving to reduce the risk of cuts to the skin, avoid flossing,

apply firm pressure to the injection site for 1 to 2 min but to avoid massaging

it.

A nurse is providing teaching to a client who is premenopausal and is on

hormone replacement therapy. Adverse effects. ANS: Calf pain,

numbness in arms, intense headache. Night sweats and vaginal dryness are

expected findings of menopause.

A nurse is reviewing the laboratory results of a client who has AIDS and is

taking amphotericin B for a fungal infection. The nurse should identify that

which of the following values is an indication of an adverse effect of the

medication? BUN 34 mg/dL. Amphotericin B can cause damage to the

kidneys and can cause several metabolic imbalances, including

hyponatremia, hypokalemia, and hypomagnesemia. It can also cause bone

marrow suppression and, as a result, a decreased hematocrit. Amphotericin

B is nephrotoxic. Therefore, an elevated BUN or creatinine level can indicate

renal impairment. The nurse should notify the provider of this result.

A nurse is providing teaching to a client who has hypertension and a new

prescription for verapamil. Which of the following information should the

nurse include in the teaching? "Increase fiber intake to avoid constipation"

Verapamil with meals or milk to decrease gastric irritability. Eczema can

develop 3 to 6 months after the beginning of verapamil therapy. constipation

is an adverse effect of verapamil. Monitor blood pressure weekly and report

manifestations of hypotension to the provider.

Mastectomy

Post opp modified radical mastectomy: numbness can occur along the

inside of the affected arm. Other teaching: stand upright and avoid flexing