The nurse is providing preoperative teaching for a 61-year-old man scheduled for an abdominal-perineal resection. Which information will the nurse include?
a. Another surgery in 8 to 12 weeks will be used to create an ileal-anal reservoir.
b. The patient will begin sitting in a chair at the bedside on the first postoperative day.
c. The patient will drink polyethylene glycol lavage solution (GoLYTELY) preoperatively.
d. IV antibiotics will be started at least 24 hours before surgery to reduce the bowel bacteria.
ANS: C
A bowel-cleansing agent is used to empty the bowel before surgery to reduce the risk for infection. A permanent colostomy is created with this surgery. Sitting is contraindicated after an abdominal-perineal resection. Oral antibiotics (rather than IV antibiotics) are given to reduce colonic and rectal bacteria.
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