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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale
After a Roux-en-Y surgical procedure, patients are typically put on a liquid-only diet for the first week or two after surgery. Over the next month, they are able to add soft food and eventually regular food back into their diet. Given that the patient is only one day postoperative, the consumption of solid foods like strawberry yogurt could potentially lead to

complications such as dumping syndrome, which is a group of symptoms that includes vomiting, nausea, and dizziness. It occurs when food moves from your stomach into your small intestine too quickly.
Choice B rationale
Chicken broth is a clear liquid and is generally considered safe for a patient who is one day postoperative from a Roux-en-Y surgical procedure. It is easily digestible and does not put undue stress on the digestive system.
Choice C rationale
Apple juice is a clear liquid and is generally considered safe for a patient who is one day postoperative from a Roux-en-Y surgical procedure. It is easily digestible and does not put undue stress on the digestive system.
Choice D rationale
Iced tea is a clear liquid and is generally considered safe for a patient who is one day postoperative from a Roux-en-Y surgical procedure. It is easily digestible and does not put undue stress on the digestive system.

A. “Before the procedure, you’ll need to remove any dentures.”. B. “After the procedure, you may have a sore throat for which you can use warm gargles or ice.”. C. “This test will allow the doctor to see directly into your esophagus, stomach, and part of your small intestine.”. D. “After the procedure, you can have something to drink after your gag reflex returns.”.

Correct Answer is D

Explanation

Choice A rationale
While it’s true that dentures and other oral appliances should be removed before an EGD to prevent damage or loss during the procedure, this information is not the most crucial for the patient to understand.
Choice B rationale
Although a sore throat can occur after an EGD due to the passage of the endoscope, it’s not the most important information. The patient should be aware that the sore throat is temporary and can be relieved with warm gargles or ice.
Choice C rationale

This choice is accurate. An EGD allows the doctor to directly visualize the esophagus, stomach, and part of the small intestine. However, this information, while important, is not the most critical aspect for the patient to understand about the post-procedure period.
Choice D rationale
This is the correct answer. After an EGD, it’s crucial for the patient to understand that they should not eat or drink until their gag reflex has returned. This is to prevent aspiration, which can occur if the patient tries to swallow food or liquid before the gag reflex is functioning properly.

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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?

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Naxlex Comprehensive Predictor Exams

The nurse is providing care for a patient who is one day postoperative from a Roux-en-Y surgical procedure. The nurse notices that the patient has received a lunch tray.Which of the following food items would be concerning to the nurse?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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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?