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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
No explanation
Correct Answer is A
Explanation
The correct answer is choice A. Auscultate the client's abdomen for bowel sounds. This is the first action the nurse should take because it provides information about the client's bowel motility and function. Opioid medications can decrease bowel motility and cause constipation. The nurse should assess the client's abdomen before implementing any interventions.
- Choice B is not correct because providing privacy and a set time to defecate is a nonpharmacological intervention that can help prevent constipation, but it is not the first action the nurse should take.
- Choice C is not correct because administering a fiber-based laxative is a pharmacological intervention that can help treat constipation, but it is not the first action the nurse should take. The nurse should also consider the client's fluid intake and preference before giving a laxative.
- Choice D is not correct because encouraging the client to increase oral intake of fluids is a nonpharmacological intervention that can help prevent constipation, but it is not the first action the nurse should take. The nurse should also consider the client's fluid balance and medical condition before giving fluids.
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