A nurse is collecting data from a client who has scleroderma. Which of the following findings should the nurse expect?

Choice A reason: Local anesthesia is not typically used for a colonoscopy. Sedation and analgesia are used to make the client comfortable, but some sensation may still be felt.

Choice B reason: While it is true that many clients find the bowel preparation uncomfortable, this statement does not address the client's concern about pain during the procedure itself.

Choice C reason: The correct answer is c because it is honest and informative. Clients may experience some cramping during a colonoscopy, but it is usually mild and can be managed with sedation and analgesia.

Choice D reason: This statement may be reassuring but is not entirely accurate. While sedation may cause some amnesia, it is important to provide realistic expectations about the procedure and potential sensations.

Choice A reason: Asking "Why have you changed your mind about the surgery?" may come across as confrontational or judgmental. It does not address the client's emotions and may make the client feel defensive.

Choice B reason: The correct answer is b because acknowledging the client's feelings by saying, "Bypass surgery must be very frightening for you," shows empathy and understanding. It opens up a supportive conversation where the client can express concerns and emotions related to the surgery.

Choice C reason: Telling the client, "Your provider would not have scheduled the surgery unless you needed it," may dismiss the client's concerns and make them feel that their feelings are not important. It is important to address the client's emotional state and provide support.

Choice D reason: While it is appropriate to involve the healthcare provider in discussing the surgery, simply stating, "I will call your doctor and have him discuss your surgery with you," without first addressing the client's emotions and concerns, may seem dismissive. Providing emotional support should be the first step.