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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Correct Answer is B
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The correct answer is choice B, herpes zoster. A 65-year-old client should receive the herpes zoster vaccine, which is recommended for adults over the age of 60 years to prevent shingles. Choice A is incorrect because inactivated polio virus vaccine is recommended for travelers to areas where polio is endemic or epidemic, and for laboratory workers who handle specimens containing poliovirus. Choice C is incorrect because the human papillomavirus vaccine is recommended for females aged 9-26 years and males aged 9-21 years. Choice D is incorrect because the measles, mumps, and rubella vaccine is recommended for individuals born after 1957 who have not had the vaccine or the diseases.
Choice A: Inactivated polio virus vaccine is incorrect because it is recommended for travelers to areas where polio is endemic or epidemic, and for laboratory workers who handle specimens containing poliovirus.
Choice C: Human papillomavirus vaccine is incorrect because it is recommended for females aged 9-26 years and males aged 9-21 years.
Choice D: Measles, mumps, and rubella vaccine is incorrect because it is recommended for individuals born after 1957 who have not had the vaccine or the diseases.
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