Exam (elaborations)
NU371 Week 6 HESI Case Study Colonoscopy with Bowel Perforation Questions And Answers
- Course
- Institution
NU371 Week 6 HESI Case Study Colonoscopy with Bowel Perforation Questions And Answers...
[Show more]
Content preview
NU371 Week 6 HESI Case Study Colonoscopy with BowelPerforation Questions And Answers
A client visits the clinic for a routine physical checkup and reports a family medical
history of colon cancer. The nurse asks the client about his elimination patterns.
For the following client data, which one would the nurse suspect that this client needs
further assessment?
o Increased flatulence.
o Bowel movement every other day.
o Blood on paper when constipated.
o Change in bowel habits.
o Change in bowel habits.
• A change in bowel habits is one of the 7 warning signs of cancer.
487
What does the nurse explain to the client?
o A colonoscopy is a routine screening for colon cancer.
o A colonoscopy examines whether or not the client has Crohn's disease.
,o A HCP ordered a colonoscopy.
o A colonoscopy must be performed to evaluate hemorrhoids existing prior to this
illness.
o Explain to him that a colonoscopy is a routine screening for colon cancer.
· The American Cancer Society advises that people at average risk of colorectal cancer
should have a colonoscopy every 10 years, starting at age 50. Some individuals may
start earlier or have it done more often based on their personal risk factors.
The HCP orders a screening colonoscopy. The client asks the nurse why he needs to
have a colonoscopy if he does not feel sick. The nurse educates the client in preparation
for the prescribed colonoscopy. The education includes dietary restrictions, bowel
preparation, and what to expect during the procedure.
Which foods should the nurse instruct the client are appropriate to consume 24 hrs
before the procedure?
o Whole grain toast and yogurt.
o Fresh apple and raw broccoli.
o Jello and clear broth.
o Roast beef and scrambled eggs.
o Jello and clear broth.
· Clear liquids can be taken by the client 24 hours prior to the procedure so the colon
will be clear, thus easy to visualize.
, Two liters of polyethylene glycol solution are ordered to be taken by the client the day
before the procedure. When teaching the client about the administration of polyethylene
glycol, what outcome should the nurse instruct the client to expect?
o Frequent, watery stool.
o Black, tarry feces.
o Gastric reflux.
o Metallic taste in mouth.
o Frequent, watery stool.
· Polyethylene glycol is a saline and osmotic laxative solution that results in retention of
fluid in the intestinal lumen from the osmotic effect. The goal is to cleanse the colon of
all feces. By completion of the preparation, most clients are passing almost clear,
watery stool.
The client tells the nurse that his friend who had the procedure said he had a lot of gas
afterwards. He asks what he can do to prevent this from happening to him. What can the
nurse respond?
á He can be reassured that everyone has gas and no one thinks anything of it.
á This is a normal expectation after a colonoscopy.
o Explain to him that it is prevented by adequate bowel preparation.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Easton. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81989 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
