HESI: Colonoscopy with Bowel Perforation and Rationale with Questions with Correct Answers
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Course
Virology
Institution
Virology
The nurse interviews the client regarding his elimination patterns.
What client information indicates to the nurse a need for additional assessment? Correct Answer-Change in bowel habits.
(A change in bowel habits is one of the 7 warning signs of cancer.)
How should the nurse respond? Correc...
HESI: Colonoscopy with Bowel Perforation and
Rationale with Questions with Correct Answers
The nurse interviews the client regarding his elimination patterns.
What client information indicates to the nurse a need for additional
assessment? Correct Answer-Change in bowel habits.
(A change in bowel habits is one of the 7 warning signs of cancer.)
How should the nurse respond? Correct Answer-Explain that a
colonoscopy is a recommended routine screening for colon cancer.
(The American Cancer Society recommends a colonoscopy every 10
years, starting at age 50, for everyone at average risk to screen for
colorectal cancer. Some individuals may require earlier or more frequent
screenings depending on their personal risk factors.)
The nurse provides preparatory teaching for the prescribed colonoscopy.
It includes dietary restrictions, bowel preparation, and procedural
expectations.
Which foods should the nurse instruct the client to eat 24 hours prior to
the procedure?
Whole grain toast and yogurt.
Fresh apple and raw broccoli.
,Jello and clear broth.
Roast beef and scrambled eggs. Correct Answer-Jello and clear broth.
(The client should consume clear liquids 24 hours before the procedure
to have a clear colon to aid visualization.)
Two liters of polyethylene glycol solution is prescribed for the client to
consume the day before the procedure.
When instructing the client about the use of polyethylene glycol
(GoLYTELY), what result should the nurse tell Mr. Jones to expect?
Frequent, watery stool.
Black, tarry feces.
Gastric reflux.
Metallic taste in mouth. Correct Answer-Frequent, watery stool.
(Polyethylene glycol 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 stool.)
, The client shares with the nurse that his friend who had the procedure
complained of experiencing a lot of gas afterwards. He asks what he can
do to prevent this from happening to him.
How should the nurse respond?
Reassure him that everyone has gas and that no one thinks anything of it.
Explain that this is a normal expectation following a colonoscopy.
Emphasize the importance of adequate bowel preparation to prevent it.
Suggest that his friend must have experienced a minor complication.
Correct Answer-Explain that this is a normal expectation following a
colonoscopy.
(The gas experienced by the client following a colonoscopy is largely
due to air that is pumped into the colon during the procedure. The gas
should be expelled normally to prevent painful distention.)
The client calls the clinic and tells them he can't take any more of the
polyethylene glycol because it tastes horrible. The nurse instructs the
client that all of the polyethylene glycol needs to be taken and suggests
icing the solution to make it more palatable to ingest. Ice may also numb
the taste buds while drinking the very cold solution.
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