A nurse is planning care for a client who is scheduled for a colonoscopy.
The nurse should expect the client to receive which of the following types of anesthesia?
Moderate sedation
Local anesthesia
Regional anesthesia
General anesthesia
The Correct Answer is A
Choice A rationale
Moderate sedation is commonly used for colonoscopies. It provides adequate comfort and relaxation for the patient during the procedure, while allowing them to breathe on their own.
Choice B rationale
Local anesthesia is not typically used for colonoscopies. It numbs a specific area of the body and would not provide sufficient comfort or relaxation for a colonoscopy.
Choice C rationale
Regional anesthesia, such as spinal or epidural anesthesia, is not typically used for colonoscopies. It blocks pain in a larger area of the body than local anesthesia, but is more commonly used for surgeries rather than diagnostic procedures like colonoscopies.
Choice D rationale
General anesthesia is rarely used for colonoscopies. It causes complete unconsciousness and is typically reserved for more invasive or lengthy surgical procedures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale
Maintaining bed rest for 48 hours following surgery is a common practice to allow the body to heal and recover.
Choice B rationale
Irrigating the nasogastric tube every 4 to 8 hours is necessary to maintain patency and prevent blockage.
Choice C rationale
Encouraging hourly use of an incentive spirometer while awake can help prevent postoperative complications such as pneumonia and atelectasis.
Choice D rationale
Performing leg exercises every 2 hours is not typically included in the plan of care for a client who had surgery for a bowel obstruction and has a nasogastric tube in place.
Correct Answer is B
Explanation
Choice A rationale
While intestinal obstruction can occur after any abdominal surgery, it is not the most common complication following ileostomy creation.
Choice B rationale
Fluid and electrolyte imbalance is a common complication following ileostomy surgery. This is due to the fact that the ileum, which is now rerouted to an external opening in the abdominal wall, is responsible for absorbing a significant amount of fluid and electrolytes. When it is diverted, these substances can be lost, leading to imbalances.
Choice C rationale
Malabsorption of fat is not typically a primary concern following ileostomy surgery. While malabsorption can occur in diseases affecting the ileum, it is not a direct result of the surgery itself.
Choice D rationale
Folate deficiency is not a common complication following ileostomy surgery. The terminal ileum, which is typically used to create the ileostomy, is primarily responsible for the absorption of vitamin B12, not folate.
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