The nurse has called the client at home to perform some preoperative teaching prior to the client's admission to the hospital for an ileostomy due to severe ulcerative colitis
Which of the below will the nurse review with the client to prevent postoperative infection? a. clear liquid diet 2-3 days prior to OR
b. oral osmotic lavages to cleanse bowel
c. laxatives to cleanse bowel
d. nonabsorbable antiobiotics
e. soft diet 2-3 days before surgery
f. sitz bath three times a day
A, B, C, D
Prior to surgery, elimination of stool and bacteria from the colon is important to decrease the chances of postoperative infection. The client is placed on a clear liquid diet for two to three days before surgery. Oral osmotic lavages and/or laxatives are administered to cleanse the bowel. Nonabsorbable erythromycin and neomycin antibiotics are given to eliminate bacteria from the colon.
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A client with serious medical problems wants to leave the hospital without a physician's discharge order. The client is mentally competent. Legally, the priority nursing action is which of the following?
1. Administer a sedative to keep him from leaving. 2. Find out why the client is leaving, and correct the situation so he will stay. 3. Notify the nursing supervisor. 4. Notify the client's family about the situation.
To achieve the goals of the HIMSS Nursing Informatics Position Statement, all nurses should:
a. draft health IT policy. b. run for political office. c. participate in advocacy and educational efforts directed to policymakers. d. develop innovative technologies.
When planning care for a patient with melena, the nurse expects which appearance of the stool?
A) Coffee ground appearance of the stool B) Black and tarry stools C) Bright red blood in the stool D) Visually undetectable blood
A nurse has made an error. She/he is concerned about what will happen when the mistake is brought to light. What information should be provided to the nurse?
1. "Errors are serious and will likely result in your termination.". 2. "Errors are human and there is no need to dwell on them.". 3. "I encourage nurses to avoid reporting small errors as this will just make a mountain out of a molehill.". 4. "Error reporting is a way to ultimately improve performance.".