A nurse is caring for a client with colorectal cancer who is scheduled for a colectomy....

A nurse is caring for a client with colorectal cancer who is scheduled for a colectomy. What pre and post-operative teaching should be provided?

Expert Solution

It is a surgical procedure in which all part of the large intestine is resected.

Pre op education

Explain the details regarding colectomy to patient and bystanders.
Pre operative fasting midnight on day before surgery.
Mechanical bowel preparation (some type of colectomy do not give bowel preparation )
Pre anaesthetic check up
Cardiology, ENT, dental etc consultation is needed
Skin preparation and take a shower on the evening before and morning the day of surgery.
Catheterization
Pre operative antibiotics
Blood test and urine test, x-ray and ECG
Smoking should be avoided
Usual Medication such as blood pressure and heart disease should take with sip of water

Post op education

Assess the vital sign
Check lung sound and bowel sound
Intravenous fluid administration
Oxygen administration needed immediately after surgery
Pain management achieved through IVly or epidural catheter
Deep breathing and coughing exercise (It stay alveoli open )while doing support the incision with pillows
Ankle exercise 10times each hour. It is done by moving feet towards and away from the body and move ankle in clock wise and anticlockwise direction.
Activities restrictions do not drive vehicles and other straneous activity.
Diet include water soluble fiber food to avoid constipation. Include more fruits and vegetables

Nightingale answered 2 years ago

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