NCLEX-RN

Category - Care Management

Listed below are the physician-prescribed treatments for a client recovering from an abdominal-perineal resection for cancer of the rectum. The client is one-day post-op. Which of the prescribed treatments, if any, are questionable?
  1. Discontinue NG tube when peristalsis resumes.
  2. Keep stoma covered with petroleum gauze.
  3. Irrigate colostomy.
  4. None of these physician orders are questionable.
Explanation
Answer: C - Irrigation of a new colostomy is not appropriate one day post- operatively. Irrigation of a colostomy should be performed three to six days post-operatively, after the colostomy begins to function. A nurse should understand the recovery process for each client and question physician orders that could compromise the client’s recovery.
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