Following a colonoscopy with polyp removal, the wife of the patient is distressed that there is slight bleeding from her husband's rectum. The nurse's most helpful response would be:
"This small amount of bleeding is expected after the removal of polyps."
"I will watch your husband very carefully to assess any further haemorrhage."
"I will notify the primary care provider about this haemorrhage.”
"Don't worry. This small amount of blood happens with these procedures."
The Correct Answer is A
A. "This small amount of bleeding is expected after the removal of polyps." Minor rectal bleeding is a common occurrence after polyp removal during a colonoscopy and generally does not indicate a complication. This reassurance helps alleviate the family’s concern.
B. "I will watch your husband very carefully to assess any further haemorrhage.": This could unnecessarily alarm the family.
C. "I will notify the primary care provider about this haemorrhage.": This overstates the concern, as slight bleeding is expected.
D. "Don't worry. This small amount of blood happens with these procedures.": This is dismissive and does not provide a professional explanation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["Hematoma"]
Explanation
After an angiogram, bleeding under the skin can lead to the formation of a hematoma. Direct pressure at the site reduces the risk of hematoma formation and ensures hemostasis.
Correct Answer is ["A","D","E"]
Explanation
A. Time vital signs ceased. Documenting the time at which vital signs ceased is important for medical and legal documentation. This helps establish the timeline of events leading to death and can be relevant for determining the official time of death.
B. Results of the autopsy. While an autopsy may provide valuable information, it is not typically documented at the time of death unless available. Autopsy results are generally included later after they are completed, not immediately after death.
C. Why the patient died. While the cause of death is often determined, it is generally not the nurse's role to speculate or document the reason for death in the medical record at the time of death. It is more appropriate for the physician or coroner to document the cause.
D. Official time of death. The official time of death should be documented as this is critical for legal, medical, and procedural purposes. It is typically recorded when the attending physician or another authorized individual pronounces the death.
E. Who pronounced the patient. It is necessary to document who pronounced the patient deceased to ensure that the pronouncement of death is legally recognized. This is part of standard medical documentation and ensures proper identification of the responsible party.
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