A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy. The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure. Which of the following responses by the nurse is appropriate?

"Don't worry, most clients dislike the prep more than the procedure itself."

"After you have signed the consent form, we can talk more about this."

"I know you're anxious, but this procedure is recommended for people your age."

"Before the examination, your provider will give you a sedative that will make you sleepy."

Answer and Explanation

The Correct Answer is D

- A: This response minimizes the client's feelings and may make them feel unheard. It's important for healthcare providers to acknowledge a patient's feelings and provide reassurance in a more empathetic manner.
- B: This response delays addressing the client's concerns and may increase his anxiety. Consent is important, but it should not be a barrier to discussing care and addressing concerns.
- C: This response is factual but does not address the client's immediate concern about pain. It's crucial to address the client's fears directly rather than deflecting to the procedure's necessity.
- D: This response directly addresses the client's concern about pain by informing him of the sedative, which is a common practice to reduce discomfort during a colonoscopy. It provides reassurance and factual information about the procedure's process.

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Correct Answer is C

Explanation

Choice A reason:

This statement does not address the client's use of bisacodyl tablets and instead provides general information about irregular bowel movements.

Choice B reason:

Decreasing fiber intake is not a recommended approach, especially for an older adult who may benefit from a balanced diet with adequate fiber.

Choice C reason:

This is the correct answer. Excessive use of laxatives, including bisacodyl, can lead to electrolyte imbalances. Bisacodyl is a stimulant laxative that can cause excessive fluid loss and potentially disrupt electrolyte levels.

Choice D reason:

While chronic use of laxatives can lead to various complications, including potential harm to the rectal mucosa, this choice is not the most appropriate response to the client's current situation.

A. "Your large intestine will adapt over time to the absence of your appendix." B. "Your appendix doesn't play a major role, so you won't notice any difference after you recover from surgery." C. "Your body will absorb slightly fewer nutrients from the food you eat, but you won't be aware of this." D. "The surgeon will encourage you to limit your fat intake for a few weeks after the surgery, but your body will then begin to compensate."

Correct Answer is B

Explanation

Choice A reason:

This statement may not be entirely accurate. While other parts of the digestive system can compensate to some extent, the primary function of the appendix is not related to the large intestine's adaptation.

Choice B reason:

This is the correct answer. The appendix is considered a vestigial organ, meaning it doesn't have a major function in humans. Its removal typically doesn't lead to noticeable changes in overall health or digestion.

Choice C reason:

While the appendix does have some immune functions, the impact on nutrient absorption is minimal, and its removal is unlikely to lead to a significant difference in nutrient absorption.

Choice D reason:

Limiting fat intake after surgery is not a standard recommendation following an appendectomy. The statement may cause unnecessary concern for the patient.

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A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy. The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure. Which of the following responses by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client who reports taking bisacodyl tablets daily. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A patient has been brought to the emergency department with abdominal pain and is subsequently diagnosed with appendicitis. The patient is scheduled for an appendectomy but questions the nurse about how his health will be affected by the absence of an appendix. How should the nurse best respond?

Correct Answer is B

Explanation

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A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the nurse identify as the priority?

A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy. The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure. Which of the following responses by the nurse is appropriate?

A patient's health history is suggestive of inflammatory bowel disease. Which of the following would suggest Crohn's disease, rather than ulcerative colitis, as the cause of the patient's signs and symptoms?

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