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. Withholding it on the day of surgery helps reduce the risk of excessive bleeding during the procedure. Choice B is incorrect because taking Ticlid on the day of surgery can increase the risk of bleeding complications. Choice C is incorrect because stopping Ticlid a month before surgery may not be necessary and can increase the risk of thrombotic events if the client has a history of cardiovascular issues. Choice D is incorrect because stopping Ticlid 7 days prior to surgery may not be sufficient to prevent bleeding complications during the procedure.

Correct Answer: A

Rationale: The correct answer is A: Less than 1 second. Capillary refill time is a measure of peripheral perfusion. A normal capillary refill time is less than 1 second, indicating adequate blood flow to the capillaries. If capillary refill takes longer than 1 second, it may suggest poor perfusion. Choices B, C, and D are incorrect as they exceed the normal capillary refill time, indicating decreased perfusion and potential circulatory compromise.

Correct Answer: D

Rationale: The correct answer is D: Junctional escape rhythm. A heart rate of 40 with electrical activity starting at the AV node indicates a slow rhythm originating from the junctional tissue. In this case, the AV node is acting as the escape pacemaker, generating electrical impulses to maintain the heart rate. The other choices are incorrect because: A: Normal sinus rhythm typically has a heart rate between 60-100 bpm. B: Atrial flutter presents with a rapid, regular atrial rate between 250-400 bpm. C: Atrial fibrillation shows chaotic and irregular electrical activity in the atria, not a slow heart rate.

Correct Answer: B

Rationale: The correct answer is B: Help the patient modify favorite high-fat recipes by using monounsaturated oils. Rationale: 1. Modifying favorite recipes helps ensure compliance as the patient is more likely to enjoy the food. 2. Using monounsaturated oils is healthier than saturated fats, supporting cardiovascular health. 3. This intervention promotes gradual and sustainable dietary changes, increasing long-term success. Summary of Incorrect Choices: A. Eliminating all saturated fats and salt may be too restrictive and difficult to maintain. C. Focusing on risks alone may not motivate the patient effectively without practical guidance. D. Providing a list of foods may not address the patient's preferences or help them apply changes to their daily meals effectively.

Correct Answer: B

Rationale: The correct answer is B: Ask about chest pain. In evaluating the effectiveness of IV nitroglycerin for a patient with MI, asking about chest pain is crucial as nitroglycerin is primarily used to relieve chest pain associated with angina and MI. By assessing if the patient's chest pain has improved or resolved, the nurse can determine the drug's effectiveness. Monitoring heart rate (A) may not directly reflect the drug's effectiveness in relieving chest pain. Checking blood pressure (C) may be important but not the primary indicator of nitroglycerin efficacy. Observing for dysrhythmias (D) is important but not a direct measure of chest pain relief.