A client prescribed polyethylene glycol solution (GoLYTELY) in preparation for colorectal surgery asks why drinking this solution is necessary. What is the nurse's best response?
A. "This solution provides electrolytes directly to the bowel."
B. "This solution is given to relax the bowel and facilitate removal of the tumor."
C. "This solution will clear the bowel of feces and reduce the chance of infection."
D. "This solution is optional, but drinking it will make the surgery easier to tolerate."
C
Polyethylene glycol solution is an isosmotic solution that overwhelms the absorptive capacity of the small bowel, clearing the bowel of feces and decreasing the amount of bacteria present, and thereby reducing the risk of infection.
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The home care nurse is visiting a patient newly discharged home after a lobectomy. What would be most important for the home care nurse to assess?
A) Resumption of the patient's ADLs B) The family's willingness to care for the patient C) Nutritional status and fluid balance D) Signs and symptoms of respiratory complications
An older patient with a history of arthritis has fallen after an episode of dizziness. Laboratory data reveal anemia and stool positive for occult blood. Which assessment question is the most appropriate for the patient's health situation?
A) "Do you take any medication for high blood pressure?" B) "What herbal remedies or supplements do you use regularly?" C) "Do you take aspirin for the treatment of pain or inflammation?" D) "Does your family doctor ask you to get regularly scheduled blood work?"
The major impact that managed care plans have had on the health care system has been to
a. significantly improve the preventive care practices of individuals b. further reduce the costs of medical technology c. change the focus of primary care to the community d. improve the availability of health care pro-viders to clients
On admission, the patient states, "My son can make healthcare decisions for me if it is necessary." What does this statement imply?
1. The patient has a living will. 2. The son has durable power of attorney. 3. This patient has violated the Patient Self-Determination Act. 4. The patient wishes a do-not-resuscitate status.