A patient with colorectal cancer is being prepared for surgery that will occur on the following day
The nurse prepares to administer cephalexin (Keflex) to the patient and informs the patient that the goal of antibiotic administration prior to surgery is to:
A) Treat any undiagnosed infections
B) Reduce the intestinal bacteria
C) Assist in digestion after surgery
D) Reduce abdominal distention
Ans: B
Feedback: Antibiotics such as kanamycin (Kantrex), neomycin (Mycifradin), and cephalexin (Keflex) are administered orally the day before surgery to reduce intestinal bacteria. The bowel is cleansed with laxatives, enemas, and colonic irrigations the evening before surgery.
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The nurse is assigned the admission health history and physical for a patient diagnosed with a fever of unknown etiology. The patient tells the nurse, "I just don't feel good. I'm so hot and I feel sick to my stomach
Can you ask me those questions later?" The best response by the nurse is: a. "It will not take too long. I can hurry." b. "We need the information to complete your admission paperwork." c. "I will come back in a few minutes and we can start over." d. "Let me see if you can have something for the nausea and then talk later."
The nurse is administering an 0800 dose of NPH insulin to an insulin-dependent diabetic child. Based on when the insulin peaks, at which period would the child be at greatest risk for a hypoglycemic episode?
1. Between breakfast and lunch 2. Between bedtime and breakfast the next morning 3. Between 0830 and a midmorning snack 4. Between lunch and dinner
The nurse is working with a client who will be taking 20 mg of prednisone daily for rheumatoid arthritis. Which precautions does the nurse give the client about taking this medication?
a. "Take this medication at bedtime because it will make you sleepy." b. "Take calcium and vitamin D supplements daily." c. "Eat a high-fiber diet with lots of lean meats." d. "Wash your face twice a day with an an-tibacterial soap."
The nurse is administering a number of therapeutic interventions for neonates, infants, and children on the pediatric unit. Which intervention contributes to an increase in chronic illness seen in early childhood?
A) Administering antibiotics to prevent lethal infections B) Vaccinating children to prevent childhood diseases C) Using mechanical ventilation for premature infants D) Using corticosteroids as a treatment for asthma