HESI Case Study - Colonoscopy with Bowel Perforation Questions with correct Answers
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Course
Colonscopy
Institution
Colonscopy
Mr. Bill Jones is a 50-year old man with a family history of colon cancer. He presents to the clinic for his annual physical.
The nurse interviews Mr. Jones regarding his elimination patterns.
What assessment finding indicates to the nurse a need for additional assessment? Correct Answer-Sto...
HESI Case Study - Colonoscopy with Bowel
Perforation Questions with correct Answers
Mr. Bill Jones is a 50-year old man with a family history of colon
cancer. He presents to the clinic for his annual physical.
The nurse interviews Mr. Jones regarding his elimination patterns.
What assessment finding indicates to the nurse a need for additional
assessment? Correct Answer-Stool has narrowed in diameter.
The primary HCP prescribes a screening colonoscopy.
The client asks the nurse, "Why do I need a colonoscopy? I feel fine."
How should the nurse respond? Correct Answer-"It's a recommended
routine screen for colon cancer."
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? Correct Answer-Jello and clear broth.
, Rationale:
The client should consume clear liquids 24 hours before the procedure to
have a clear colon to aid visualization.
Two liters of polyethylene glycol (GoLYTELY) 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?
Correct Answer-Frequent, watery stool.
Rationale:
Polyethylene glycol (GoLYTELY) 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.
Mr. Jones shares with the nurse that his friend who had the procedure
complained of experiencing a lot of gas afterwards. He asked what he
can do to prevent this from happening to him.
How should the nurse respond? Correct Answer-Explain that this is a
normal expectation following a colonoscopy.
Rationale:
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