The nurse is providing preoperative teaching for a 61-year-old ...

[naturalchemist]

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.

Question 2

The nurse preparing for the annual physical exam of a 50-year-old man will plan to teach the patient about
 
  a. endoscopy.
  b. colonoscopy.
  c. computerized tomography screening.
  d. carcinoembryonic antigen (CEA) testing.

[dmurph1496]

Answer to Question 1

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.

Answer to Question 2

ANS: B
At age 50, individuals with an average risk for colorectal cancer (CRC) should begin screening for CRC. Colonoscopy is the gold standard for CRC screening. The other diagnostic tests are not recommended as part of a routine annual physical exam at age 50.