The client is taking Ticlid and is anticipating surgery. What does the nurse advice the client to do about taking the Ticlid around the time of surgery?

Correct Answer: A

Rationale: The correct answer is A: Ticlid should be withheld on the day of surgery. Ticlid is an antiplatelet medication that can increase the risk of bleeding during surgery. It is crucial to withhold Ticlid on the day of surgery to minimize the risk of excessive bleeding during the procedure. Choices B, C, and D are incorrect because taking Ticlid on the day of surgery or stopping it too far in advance can lead to increased bleeding risks. Stopping Ticlid a month before surgery (C) is unnecessary and can increase the risk of clot formation. Stopping Ticlid 7 days before surgery (D) is also too close to the surgery date and may not provide enough time for the medication to clear the system, potentially leading to increased bleeding risks.

Correct Answer: A

Rationale: The correct answer is A (Less than 1 second) because normal capillary refill time is typically less than 1 second. Capillary refill time measures the time it takes for blood to return to the capillaries after pressure is applied and released. This quick refill indicates adequate peripheral circulation. Choices B, C, and D (3 seconds, 5 seconds, and 10 seconds) are incorrect as they indicate delayed capillary refill, which can be a sign of poor circulation or other underlying health issues. It is crucial for nurses to assess capillary refill time accurately to monitor circulation status and detect potential problems early.

Correct Answer: D

Rationale: The correct answer is D: Junctional escape rhythm. With a heart rate of 40 and electrical activity starting at the AV node, it indicates a slow heart rate originating from the junctional tissue. This rhythm is considered an escape rhythm when the SA node fails to initiate an impulse. A: Normal sinus rhythm is characterized by a heart rate of 60-100 bpm originating from the SA node. B: Atrial flutter is a rapid regular atrial rhythm with a rate typically between 250-350 bpm. C: Atrial fibrillation is characterized by rapid and irregular atrial activity, not a slow rhythm like in this case.

Correct Answer: B

Rationale: The correct answer is B: Help the patient modify favorite high-fat recipes by using monounsaturated oils. This answer is correct because it focuses on practical and sustainable dietary changes by modifying existing favorite recipes to make them healthier. By using monounsaturated oils instead of saturated fats, the patient can still enjoy their favorite foods while making positive changes to their diet. Option A is too restrictive in eliminating all saturated fats and may not be sustainable for the patient in the long term. Option C focuses on fear-based motivation, which is not always effective in promoting behavior change. Option D gives a list of foods without addressing how the patient can make practical changes in their meal preparation. Overall, option B is the most effective as it encourages gradual and realistic changes in the patient's diet.

Correct Answer: B

Rationale: The correct answer is B: Ask about chest pain. This is because nitroglycerin is primarily used to relieve chest pain associated with myocardial infarction. By asking the patient about chest pain, the nurse can assess if the medication is effectively relieving the symptoms. Monitoring heart rate (A), checking blood pressure (C), and observing for dysrhythmias (D) are important assessments during nitroglycerin therapy, but they do not directly evaluate the effectiveness of the drug in relieving chest pain, which is the primary goal in this scenario.