A cleansing enema has been prescribed for a patient before his scheduled colon surgery. What is the reason for this procedure?
A cleansing enema is ordered because gastrointestinal peristalsis does not resume until 12 to 24 hours after surgery.
Cleansing enemas are administered prior to surgery only at the patient’s request.
There will be less gas and discomfort post-operatively.
Patients undergoing surgery are routinely given multiple pre-operative cleansing enemas.
The Correct Answer is C
Choice A rationale:
While it's true that gastrointestinal peristalsis may be slowed after surgery, this is not the primary reason for administering a cleansing enema before colon surgery.
The main goal of the enema is to evacuate stool from the colon, ensuring a clear and unobstructed surgical field. This helps to:
Reduce the risk of infection
Facilitate better visualization of the colon during surgery
Minimize the potential for complications
Choice B rationale:
Cleansing enemas are not administered solely based on patient request.
They are prescribed for specific medical reasons, such as preparing for colon surgery or certain diagnostic procedures. Patient preference may be considered, but it's not the determining factor.
Choice C rationale:
While decreased gas and discomfort post-operatively can be a potential benefit of a cleansing enema, it's not the primary reason for its use before colon surgery.
The primary goal, as mentioned earlier, is to clear the colon for a safe and effective surgical procedure. However, reduced gas and discomfort can contribute to a smoother post-operative recovery.
Choice D rationale:
Multiple cleansing enemas are not routinely given to all surgical patients.
The decision to administer an enema is based on the specific type of surgery, the patient's condition, and other factors. In some cases, a single enema may be sufficient, while others may require more than one.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
While independence is a valuable quality for nurses, it's not the most essential quality for leadership. Effective leaders must be able to collaborate with others, delegate tasks, and build consensus. They must also be able to recognize when they need to seek help or guidance from others.
Choice B rationale:
Physical stamina is important for nurses, as they often work long hours and are on their feet for extended periods. However, it's not the most essential quality for leadership. Leaders need to be able to think clearly, make decisions under pressure, and motivate others, even when they are tired or stressed.
Choice C rationale:
Flexibility is essential for nursing leaders because the healthcare environment is constantly changing. Leaders must be able to adapt to new situations, challenges, and demands. They must also be able to adjust their leadership style to meet the needs of different individuals and teams.
Here are some examples of how flexibility is essential for nursing leaders:
Managing change: Leaders must be able to effectively manage change, such as new policies, procedures, or technologies. They need to be able to communicate changes clearly, provide support to staff, and ensure that changes are implemented smoothly.
Dealing with conflict: Leaders must be able to resolve conflicts effectively, whether between staff members, patients, or families. They need to be able to listen to different perspectives, identify common ground, and find solutions that meet the needs of all parties involved.
Adapting to different personalities: Leaders must be able to work with a variety of personalities and work styles. They need to be able to adjust their communication style, provide feedback, and motivate individuals in a way that is tailored to their needs.
Responding to crises: Leaders must be able to act quickly and decisively in crisis situations. They need to be able to assess the situation, make decisions, and take action to protect the safety of patients and staff.
Choice D rationale:
Vulnerability can be a valuable quality for leaders, as it can help to build trust and rapport with others. However, it's not the most essential quality for leadership. Leaders need to be able to balance vulnerability with strength and confidence.
Correct Answer is D
Explanation
Completing the Full Course of Antibiotics Is Essential to Prevent Recurrence and Antibiotic Resistance:
Eradication of Bacteria: Even though symptoms may have resolved, it's crucial to continue the full course of antibiotics to ensure complete eradication of the bacteria causing the UTI. Incomplete treatment can lead to:
Recurrence: Bacteria that haven't been fully eliminated can repopulate and cause a relapse of the infection. Antibiotic Resistance: Bacteria can develop resistance to the antibiotic, making future infections more difficult to treat. Specific Considerations for Nitrofurantoin:
Bacterial Suppression: Nitrofurantoin works primarily in the bladder, so it's essential to maintain adequate levels for a sufficient duration to fully suppress bacterial growth and prevent reinfection.
Delayed Symptom Resolution: In some cases, symptom resolution may lag behind bacterial eradication. Continuing the full course ensures treatment even if symptoms haven't completely subsided.
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