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 D

Explanation

A. Unit secretary: While the unit secretary may assist with transcription, they are not authorized to verify medical orders.

B. Director of nurses: This role oversees broader administrative and supervisory responsibilities, not routine order verification.

C. LPN/LVN in charge: While LPNs/LVNs play vital roles, verifying orders typically falls under the RN's scope of practice.

D. Administrative RN: Verifying transcribed orders is a professional nursing responsibility, often performed by the RN to ensure accuracy and compliance with the physician's orders.

A. There is often some rectal bleeding afterward. B. The prep for the procedure begins 24 to 48 hours beforehand. C. it is okay to drive home afterward. D. Sedation will be given before the procedure. E. Cranberry juice is encouraged pre-procedure to minimize the risk of urinary tract infection (UTI).

Correct Answer is ["B","D"]

Explanation

A. There is often some rectal bleeding afterward: Rectal bleeding is not common; its presence should be reported.

B. The prep for the procedure begins 24 to 48 hours beforehand. Bowel prep, including laxatives and a clear liquid diet, typically begins 1-2 days prior to the procedure.

C. It is okay to drive home afterward: Sedation impairs the ability to drive; transportation arrangements are necessary.

D. Sedation will be given before the procedure. Sedation is routinely used to minimize discomfort during the procedure.

E. Cranberry juice is encouraged pre-procedure to minimize the risk of urinary tract infection (UTI): Cranberry juice has no relevance to colonoscopy preparation.

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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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Correct Answer is ["B","D"]

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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?