HESI Case Study -Colonoscopy with Bowel Perforation Questions with Correct Answers
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Course
Virology
Institution
Virology
A client with a family history of colon cancer presents to the clinic for his annual physical.
Initial Nursing InterviewThe nurse interviews the client regarding his elimination patterns.
What client information indicates to the nurse a need for additional assessment? Correct Answer-Change in...
HESI Case Study -Colonoscopy with Bowel
Perforation Questions with Correct Answers
A client with a family history of colon cancer presents to the clinic for
his annual physical.
Initial Nursing InterviewThe 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 primary healthcare provider (HCP) prescribes a screening
colonoscopy. The client asks the nurse, why he needs a colonoscopy if
he feels fine.
Colonoscopy Preparation
, 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.
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, what
result should the nurse tell the client to expect? 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.
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