A patient has an extensive bowel preparation of oral laxatives and enemas for a colon resection. What rationales should the nurse list when asked about the rigorous preparation? (Select all that apply.)
a. Reduces possibility of fecal contamination of the operative site
b. Flattens the colon
c. Decreases postoperative distention
d. Avoids postoperative constipation
e. Decreases straining at stool
A, C, D, E
Preoperative bowel prep reduces the risk for infection from bowel contents and decreases post-operative distention, constipation, and straining at stool.
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A client has newly diagnosed systemic lupus erythematosus (SLE). What instruction by the nurse is most important?
a. "Be sure you get enough sleep at night." b. "Eat plenty of high-protein, high-iron foods." c. "Notify your provider at once if you get a fever." d. "Weigh yourself every day on the same scale."
The nurse prepares an insulin injection for the patient who has diabetes mellitus. Which does the nurse implement for correct insulin administration?
a. Gives regular insulin within 15 to 30 mi-nutes of meals b. Injects insulin just removed from the re-frigerator c. Examines vials of NPH insulin for ab-normal cloudiness d. Administers NPH insulin for sliding-scale insulin dosing
During labor, the fetus was in a brow presentation, but after a prolonged labor, the fetus converted to face presentation and was delivered vaginally with forceps assist. What should the nurse explain to the parents?
1. The infant will need to be observed for meconium aspiration. 2. Facial edema and head molding will subside in a few days. 3. The infant will be given prophylactic antibiotics. 4. Breastfeeding will need to be delayed for a day or two.
Windshield surveys give ethnographers a "map" of important features and activity patterns in a community
A) True B) False