You are a registered nurse working on the pediatric unit at the local hospital

You are a registered nurse working on the pediatric unit at the local hospital. This morning, you receive a report on Marco, a 10-year-old boy who will be having a laparoscopic cholecystectomy this afternoon. He was admitted with right upper quadrant abdominal pain, nausea, vomiting, and fever that he has experienced for the past 3 days. He does not have any pertinent previous medical history and has not had any prior surgery. He has stopped vomiting, and his vital signs have been stable since admission. Marco has not had anything to eat or drink since after midnight. In reviewing his chart, you note the following preoperative orders:
 
Give on-call to operating room:
Cefazolin (Ancef) 25 mg/kg intravenously administered 60 min before surgery.
Metoclopramide (Reglan) 3 mg intravenously once
Start lactated Ringer's solution at 100 mL/hr intravenously


Question1
In reviewing Marco's medical record, you understand that he is receiving metoclopramide (Reglan) for which reason? (Select all that apply.)
a) To prevent a small bowel obstruction while he is not eating


b) To restore normal levels of intestinal bacteria after antibiotic use


c) To increase the movement of stomach contents into intestines


d)To prevent any postoperative nausea and vomiting


e)To prevent any infections while in surgery


f) To prevent the occurrence of stress ulcers during surgery


Question2
You are developing a list of home care instructions for Marco and his mother. Which instructions will you include in your teaching? (Select all that apply.)
a) "Limit your activity for 1 month after surgery."


b) "Follow a low-fat diet as instructed."


c) "Monitor incision sites for any signs of infection every day."


d)"Slowly peel the adhesive strips off the incision when you get home."


e) "Expect possible nausea and vomiting for several days after you get home."


f) "Call your doctor if you develop any high fevers over the next 10 days."