Certified Neuroscience Registered Nurse (CNRN) Practice Exam

What is the primary treatment for an anastomotic leak with gastrointestinal surgeries?

1. Antacid therapy

2. Intravenous fluid resuscitation

3. Oral antibiotics

4. Transfusion therapy

The correct answer is: Intravenous fluid resuscitation

In cases of an anastomotic leak following gastrointestinal surgery, the primary treatment focuses on stabilizing the patient's condition, which includes managing fluid and electrolyte balance. Intravenous fluid resuscitation plays a critical role in this context, as leaks can lead to significant fluid loss, resulting in dehydration and potential shock. Restoring fluid balance not only helps to maintain blood pressure but also supports organ perfusion and function, which are especially crucial in the setting of a leak. Additionally, subsequent treatments such as antibiotics may be necessary to address any accompanying infection, but they would not replace the immediate need for effective fluid management. Antacid therapy and transfusion therapy, while potentially relevant in certain complicated cases, are not the primary focus for managing an anastomotic leak. The initial response to such a complication emphasizes hydration and stabilization through intravenous fluids, making this approach pivotal for the patient's recovery and ongoing management.