You are a nurse working on a surgical unit and take the following report from the registered nurse in theemergency department. "We are sending you a patient with rule out small bowel obstruction and/orfood blockage
dr. N., the gastrointestinal specialist, is on his way in to see the patient. d.s. is a 78-year-old
obese man with complaints of sudden onset of severe abdominal cramping, distention, and nausea and
vomiting; he denies passing of flatus or stool within the past 12 hours. Past medical history includes heart
failure, hypertension, colon cancer, and ulcerative colitis. He underwent a total colectomy 16 years ago
and had an enterocutaneous fistula 12 years ago. Laboratory samples have been drawn, and the results
will be sent to your floor. We started an IV and placed a salem sump nasogastric tube (NGT). His vital signs
are 143/76, 82, respirations 26 and slightly labored, and 101.1° F (38.4° C). He is on his way up."
Given that D.S. had had a total colectomy, would he have a colostomy or an ileostomy?
Explain your answer.
A colostomy is created by bringing a portion of the large intestine up through the abdominal wall.
It is needed when a portion of the large intestine is removed. An ileostomy is created by bringing
a portion of the small intestine up through the wall of the abdomen, usually in the right lower
quadrant (RLQ) of the abdomen. An ileostomy is needed when the entire large intestine is removed,
as in D.S.'s situation.
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The nurse is explaining the preparation needed for a positive emission tomography (PET) scan. The client is told he will:
A) need to drink several glasses of contrast media. B) have an intravenous line inserted just before the test. C) be given a mild sedative 1 hour before the test. D) only be allowed to drink water the morning of the test.
Your client is scheduled for a colonoscopy. To prepare this client, you:
1. administer a retention enema. 2. use a bowel cleansing protocol. 3. administer a suppository. 4. teach the BRATY diet.
The nurse assists and educates clients about the structure and function of the immune system. Cells in the bone marrow are capable of developing into different types of blood cells
Based on this information, what cells should the nurse tell a group of nursing students are considered the "cornerstone" of the immune system and alone have the ability to recognize foreign substances in the body? A) Erythrocytes B) Leukocytes C) Lymphocytes D) Thrombocytes
The nurse plans to teach a class on anabolic steroids to a group of high school athletes. What will the best plan by the nurse include?
1. The use of anabolic steroids can lead to infertility. 2. Your entire body is affected by anabolic steroids, especially your liver. 3. The use of anabolic steroids is the most effective way to increase muscle mass. 4. The use of anabolic steroids should be monitored by your doctor. 5. The use of anabolic steroids can lead to very aggressive behavior.