An older adult patient has had a series of enemas in preparation for a gastrointestinal diagnostic procedure. Which electrolytes should be monitored following the enemas?

Sodium and potassium

Selenium and zinc

Magnesium and phosphorus

Calcium and chloride

Answer and Explanation

The Correct Answer is A

A. Sodium and potassium: Frequent enemas can lead to electrolyte imbalances, particularly sodium and potassium depletion, due to fluid loss and altered intestinal absorption.

B. Selenium and zinc: These are trace elements, not commonly affected by enemas.

C. Magnesium and phosphorus: While imbalances in these electrolytes can occur in other conditions, enemas are more likely to impact sodium and potassium.

D. Calcium and chloride: Although chloride may be affected in severe cases, sodium and potassium are more routinely monitored following fluid and electrolyte disturbances caused by enemas.

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Correct Answer is B

Explanation

A. Send the medications home with a family member: This may result in the patient not having access to essential medications.

B. Notify the physician about the medications the patient has been taking. The physician must be informed to evaluate the medications and determine whether they should be added to the current orders. This ensures patient safety and prevents potential adverse drug interactions.

C. Administer the medications with the ordered medications: Unsafe without physician approval, as it may lead to drug interactions.

D. Seal the medications in an envelope and lock it in the medicine cart: This delays action and does not address the patient’s potential need for the medications.

A. Clear liquid diet 12 hours before procedure B. Bowel cleansing the morning of procedure C. Do not hold any medications prior to procedure D. Signed consent required

Correct Answer is D

Explanation

A. Clear liquid diet 12 hours before procedure: The clear liquid diet is often initiated at least 24 hours before.

B. Bowel cleansing the morning of the procedure: Bowel prep usually begins the day before to ensure complete cleansing.

C. Do not hold any medications prior to procedure: Some medications, such as anticoagulants, may need to be held; this should be clarified with the provider.

D. Signed consent required: A colonoscopy is an invasive procedure requiring informed consent to ensure the patient understands risks and benefits.

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An older adult patient has had a series of enemas in preparation for a gastrointestinal diagnostic procedure. Which electrolytes should be monitored following the enemas?

Nursing Test Bank

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