, MEDSURG_HESI_PACKET COMPLETE GUIDE
Colonoscopy with bowel perforation;
1. Stool that is narrower in diameter, (ribbon like) can be an indication of left sided colon
cancer.
2. Colonoscopy every 10 years, starting at age 50, for everyone at average risk to screen
for colorectal cancer.
3. 2 Liters of polyethylene glycol (GoLYTELY) solution; is a saline and osmotic laxative
solution that causes retention of fluid in the intestinal lumen from the osmotic effect. Its
purpose is to clean out all feces from the colon. By the end of the preparation, most
clients are expelling almost clear, watery stools.
4. May have bad taste when drinking it so tell them to “use ice to chill the medication”
5. Conscious sedation anesthesia is established with morphine and midazolam (versed)-
has signs of ptosis, droopy eyelids, and slurred speech desired sedation for a client
during the procedure, the nurse should continue to monitor the client.
6. If patient cannot be aroused give flumazenil; respiratory depression can occur in a client
after a procedure requiring sedation. Romazicon reverses the effects of benzodiapines.
7. Surgical procedures with general anesthesia normally require a hemoglobin of 10.0 g/Dl
or higher in order to ensure adequate oxygen-carrying capacity.
8. Uncontrolled pain can be a precursor of postoperative complications; therefor, to
ensure the clients safety, it is important for the nurse to reassess the client after the
initial dose of the pain.
9. Pruritus (itching) is a possible, temporary, common side effects to narcotics, especially if
the client is opiate-naïve
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