NU371 HESI CASE STUDY:
WEEK 6: COLONOSCOPY
WITH BOWEL PERFORATION:
TEST QUESTIONS WITH
ACCURATE SOLUTIONS
A client with a family history of colon cancer presents to the clinic for
his annual physical.
The nurse interviews the client regarding his elimination patterns.
What client information indicates to the nurse a need for additional
assessment?
a) Increased flatulence.
b) Bowel movement every other day.
c) Blood on paper when constipated.
d) Change in bowel habits. -- Correct Answer ✔✔ d) Change in bowel
habits.
A change in bowel habits is one of the 7 warning signs of cancer.
,How should the nurse respond?
a) Explain that a colonoscopy is a recommended routine screening
for colon cancer.
b) Tell the client that a colonoscopy is used to determine the
existence of Crohn's disease.
c) Remind the client that the HCP ordered the procedure.
d) Inform the client that a colonoscopy is needed to evaluate
preexisting hemorrhoids. -- Correct Answer ✔✔ a) Explain that a
colonoscopy is a recommended routine screening for colon
cancer.
-
The American Cancer Society recommends a colonoscopy every 10
years, starting at age 50, for everyone at average risk to screen for
colorectal cancer. Some individuals may require earlier or more
frequent screenings depending on their personal risk factors.
The primary healthcare provider (HCP) prescribes a screening
colonoscopy. The client asks the nurse, why he needs a colonoscopy if
he feels fine.
Colonoscopy Preparation : The nurse provides preparatory teaching for
the prescribed colonoscopy. It includes dietary restrictions, bowel
preparation, and procedural expectations.
Which foods should the nurse instruct the client to eat 24 hours prior to
the procedure?
a) Whole grain toast and yogurt.
, b) Fresh apple and raw broccoli.
c) Jello and clear broth.
d) Roast beef and scrambled eggs. -- Correct Answer ✔✔ c) Jello and
clear broth.
-
The client should consume clear liquids 24 hours before the procedure
to have a clear colon to aid visualization.
Two liters of polyethylene glycol solution is prescribed for the client to
consume the day before the procedure.
When instructing the client about the use of polyethylene glycol, what
result should the nurse tell the client to expect?
a) Frequent, watery stool.
b) Black, tarry feces.
c) Gastric reflux.
d) Metallic taste in mouth. -- Correct Answer ✔✔ a) Frequent, watery
stool.
-
Polyethylene glycol is a saline and osmotic laxative solution that
causes retention of fluid in the intestinal lumen from the osmotic
effect. Its purpose is to clean out all feces from the colon. By the end of
the preparation, most clients are expelling almost clear, watery stool.
The client shares with the nurse that his friend who had the procedure
complained of experiencing a lot of gas afterwards. He asks what he
can do to prevent this from happening to him.
WEEK 6: COLONOSCOPY
WITH BOWEL PERFORATION:
TEST QUESTIONS WITH
ACCURATE SOLUTIONS
A client with a family history of colon cancer presents to the clinic for
his annual physical.
The nurse interviews the client regarding his elimination patterns.
What client information indicates to the nurse a need for additional
assessment?
a) Increased flatulence.
b) Bowel movement every other day.
c) Blood on paper when constipated.
d) Change in bowel habits. -- Correct Answer ✔✔ d) Change in bowel
habits.
A change in bowel habits is one of the 7 warning signs of cancer.
,How should the nurse respond?
a) Explain that a colonoscopy is a recommended routine screening
for colon cancer.
b) Tell the client that a colonoscopy is used to determine the
existence of Crohn's disease.
c) Remind the client that the HCP ordered the procedure.
d) Inform the client that a colonoscopy is needed to evaluate
preexisting hemorrhoids. -- Correct Answer ✔✔ a) Explain that a
colonoscopy is a recommended routine screening for colon
cancer.
-
The American Cancer Society recommends a colonoscopy every 10
years, starting at age 50, for everyone at average risk to screen for
colorectal cancer. Some individuals may require earlier or more
frequent screenings depending on their personal risk factors.
The primary healthcare provider (HCP) prescribes a screening
colonoscopy. The client asks the nurse, why he needs a colonoscopy if
he feels fine.
Colonoscopy Preparation : The nurse provides preparatory teaching for
the prescribed colonoscopy. It includes dietary restrictions, bowel
preparation, and procedural expectations.
Which foods should the nurse instruct the client to eat 24 hours prior to
the procedure?
a) Whole grain toast and yogurt.
, b) Fresh apple and raw broccoli.
c) Jello and clear broth.
d) Roast beef and scrambled eggs. -- Correct Answer ✔✔ c) Jello and
clear broth.
-
The client should consume clear liquids 24 hours before the procedure
to have a clear colon to aid visualization.
Two liters of polyethylene glycol solution is prescribed for the client to
consume the day before the procedure.
When instructing the client about the use of polyethylene glycol, what
result should the nurse tell the client to expect?
a) Frequent, watery stool.
b) Black, tarry feces.
c) Gastric reflux.
d) Metallic taste in mouth. -- Correct Answer ✔✔ a) Frequent, watery
stool.
-
Polyethylene glycol is a saline and osmotic laxative solution that
causes retention of fluid in the intestinal lumen from the osmotic
effect. Its purpose is to clean out all feces from the colon. By the end of
the preparation, most clients are expelling almost clear, watery stool.
The client shares with the nurse that his friend who had the procedure
complained of experiencing a lot of gas afterwards. He asks what he
can do to prevent this from happening to him.
