Compounds containing aspirin are discontinued at least how many weeks before ileostomy surgery?

Correct Answer: B

Rationale: In the context of gastrointestinal disorders and ileostomy surgery, it is crucial for patients to discontinue compounds containing aspirin to prevent excessive bleeding during and after the surgery. The correct answer, option B) 2 weeks, is the most appropriate timeframe for stopping aspirin-containing compounds because it allows enough time for the medication to be cleared from the body, reducing the risk of bleeding complications during the surgery. Option A) 1 week is too short of a timeframe to ensure that aspirin has been adequately metabolized and eliminated from the system, increasing the likelihood of surgical complications. Option C) 3 weeks and option D) 4 weeks are longer periods than necessary, potentially causing undue discomfort or adverse effects on the patient who may benefit from aspirin for other medical conditions. In an educational context, understanding the timing of discontinuing aspirin-containing compounds before ileostomy surgery is essential for healthcare providers, nurses, and patients themselves. This knowledge ensures optimal patient safety and outcomes during the surgical procedure, highlighting the importance of medication management in the preoperative period for individuals with gastrointestinal issues.

Correct Answer: D

Rationale: In this scenario, the correct answer is option D) a piece of cheese the size of three dice. This option is correct because it provides a tangible and visual representation of an appropriate serving size, which can help the patient better understand portion control. Using a familiar object like dice makes it easier for the patient to visualize and remember the recommended portion size for cheese. Option A) a 6-inch bagel is incorrect because bagels are often larger than necessary for a single serving and can contribute to excessive calorie intake. Option B) 1 cup of chopped vegetables is also incorrect as it does not specifically address portion sizes for foods that are higher in fat and calories, like cheese. Option C) a 6-inch bagel is incorrect as it may not accurately represent an appropriate portion size for cheese. From an educational perspective, it is essential to teach patients about appropriate portion sizes to help them make healthier food choices and manage their weight effectively. Providing practical examples and visual aids, like comparing portion sizes to everyday objects, can enhance patient understanding and retention of nutrition information. This approach can empower patients to make informed decisions about their dietary habits and support their overall health and well-being.

Correct Answer: C

Rationale: The correct answer is C) Encourage a high-calorie, high-protein diet. Rationale: Prior to a partial esophagectomy, the patient with esophageal cancer is at risk of malnutrition due to difficulty swallowing and the impending surgical intervention. A high-calorie, high-protein diet helps optimize the patient's nutritional status, promoting wound healing and overall recovery postoperatively. This intervention is crucial to enhance the patient's physiological reserves and reduce the risk of postoperative complications. Option A) Practice turning and deep breathing is important for postoperative care to prevent respiratory complications but is not the highest priority preoperatively for a patient undergoing a partial esophagectomy. Option B) Brush the teeth and mouth well each day is essential for oral hygiene but is not the highest priority preoperatively for a patient scheduled for surgery. Option D) Teach about postoperative tubes and cares is important for patient education but does not take precedence over addressing the patient's preoperative nutritional needs to optimize recovery. Educational Context: Understanding the priority nursing interventions for patients undergoing surgery is crucial for providing safe and effective care. Preoperative optimization, such as nutritional support, plays a vital role in enhancing patient outcomes and reducing the risk of complications. Nurses must prioritize interventions based on the patient's immediate needs to ensure holistic care and promote positive surgical outcomes.

Correct Answer: C

Rationale: In this scenario, option C, "I may use over-the-counter Imodium or Parepectolin when I need to control the diarrhea," is the statement that indicates a need for additional teaching. This is because using anti-diarrheal medications like Imodium can be harmful in cases of infectious diarrhea as they can prolong the infection by trapping the infectious organism in the intestines. Option A, "I can use A&D ointment or Vaseline jelly around the anal area to protect my skin," is correct as it helps prevent skin irritation from frequent bowel movements. Option B, "Gatorade is a good liquid to drink because it replaces the fluid and salts I have lost," is a correct statement as it helps in rehydration by replacing lost fluids and electrolytes. Option D, "I must wash my hands after every bowel movement to prevent spreading the diarrhea to my family," is also correct as proper hand hygiene is crucial in preventing the spread of infectious diarrhea. In an educational context, it's important to emphasize the appropriate management of infectious diarrhea, including the avoidance of anti-diarrheal medications unless prescribed by a healthcare provider. Teaching patients about proper fluid intake, hygiene practices, and skin protection is essential for effective self-care management of gastrointestinal disorders.

Correct Answer: B

Rationale: In this question, the correct answer is B) Twisting of bowel on itself. Explanation of the correct answer: A volvulus is a condition where a loop of the bowel twists on itself, leading to obstruction and potential ischemia of the affected segment. This twisting can compromise blood flow and cause severe complications if not promptly addressed with surgical intervention. Explanation of why the other options are incorrect: A) Bowel folding on itself - This option does not fully capture the dynamic nature of a volvulus, which involves twisting rather than simply folding. C) Emboli of arterial supply to the bowel - This describes a different condition known as mesenteric ischemia, where a blockage in an artery leads to compromised blood supply to the bowel. D) Protrusion of bowel in weak or abnormal opening - This describes a hernia, where a portion of the bowel protrudes through a weakened area in the abdominal wall, which is different from a volvulus. Educational context: Understanding gastrointestinal disorders like volvulus is crucial for healthcare professionals, especially nurses, as they play a vital role in patient education and support. Providing accurate information to patients about their condition helps alleviate anxiety, promotes informed decision-making, and enhances overall patient outcomes. This question reinforces the importance of knowing the specific characteristics of different gastrointestinal disorders to facilitate timely and appropriate interventions.