When a Patient with Splenomegaly Is Scheduled for Splenectomy,which Action

question 11

Multiple Choice

When a patient with splenomegaly is scheduled for splenectomy,which action will the nurse include in the preoperative plan of care?

• A) Discourage deep breathing to reduce risk for splenic rupture.
• B) Teach the patient to use ibuprofen (Advil) for left upper quadrant pain.
• C) Schedule immunization with the pneumococcal vaccine (Pneumovax).
• D) Avoid the use of acetaminophen (Tylenol) for 2 weeks prior to surgery.

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Definitions:

Endotoxins

Toxic substances bound to the bacterial cell wall and released when the bacteria disintegrates.

Viral Proteins

Proteins that are encoded by viral genomes and are essential for the virus lifecycle, including entry into host cells, replication, and formation of viral particles.

Transcription

The method through which data from a DNA strand is replicated into a new molecule of messenger RNA (mRNA), starting the production of proteins.

Lysogenic Conversion

The change in properties of bacteria that results from the presence of a prophage.