A nurse is reinforcing teaching with a client who will undergo a colonoscopy the following week. Which of the following instructions should the nurse include?

Restrict the diet to clear liquids for 1 to 3 days before the procedure.

Expect the provider to schedule another procedure to remove any polyps.

Do not eat or drink anything except water for 12 hours before the procedure.

Administer enemas 2 days before the procedure.

Answer and Explanation

The Correct Answer is C

A. This is not necessary for a colonoscopy. A clear liquid diet for a shorter period, usually 12-24 hours, is sufficient.

B: The provider does not schedule another procedure to remove any polyps during the colonoscopy; they may be removed during the procedure or later.

C: This is a standard bowel preparation instruction for colonoscopy to ensure a clear view of the colon during the procedure.

D: While enemas may be part of bowel preparation, they are usually administered closer to the procedure, not 2 days in advance.

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Correct Answer is C

Explanation

Red streaks along the incision. This is a possible sign of infection and should be reported to the healthcare provider. A temperature of 37.2°C (99°F) is within the normal range and does not require reporting. Serosanguineous drainage at the incision site is normal within the first few days postoperatively. Hypoactive bowel sounds in all four quadrants can indicate ileus, which is a possible complication following abdominal surgery, but it is not an immediate concern and can be monitored unless other symptoms arise.

Choice A: A temperature of 37.2°C (99°F) is within the normal range and does not require reporting.

Choice B: Serosanguineous drainage at the incision site is normal within the first few days postoperatively.

Choice D: Hypoactive bowel sounds in all four quadrants can indicate ileus, which is a possible complication following abdominal surgery, but it is not an immediate concern and can be monitored unless other symptoms arise.

A. The client walks 3.2 km (2 mi) daily. B. The client is a gardener. C. The client is lactose intolerant. D. The client has a glass of red wine every evening.

Correct Answer is C

Explanation

The correct answer is choice C. The client's lactose intolerance places her at an increased risk for osteoporosis, as dairy products are a rich source of calcium and vitamin D, which are important for bone health. Walking daily and gardening may actually help to reduce the risk of osteoporosis, as physical activity can help to strengthen bones. Drinking red wine in moderation may provide some benefits for cardiovascular health and may not necessarily increase the risk of osteoporosis.
Reason why each of the other choices are not answers:

A is not correct because walking daily can help to improve bone health and reduce the risk of osteoporosis.

B is not correct because gardening can also provide physical activity and help to reduce the risk of osteoporosis.

D is not correct because propranolol does not typically cause increased hair growth, and requesting a dosage increase based on apical heart rate may not be necessary for all clients taking this medication.

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A nurse is reinforcing teaching with a client who will undergo a colonoscopy the following week. Which of the following instructions should the nurse include?

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Naxlex Comprehensive Predictor Exams

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