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."

Answer and Explanation

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.

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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.

A. making an entry in the primary care provider progress notes. B. asking the unit secretary to place a note in the chart. C. having the patient sign for them as per policy. D. writing a note to the charge nurse.

Correct Answer is C

Explanation

A. Making an entry in the primary care provider progress notes: This is not the appropriate place to document returned belongings.

B. Asking the unit secretary to place a note in the chart: Documentation must be done by the nurse responsible for returning the items.

C. Having the patient sign for them as per policy. Documenting with the patient’s signature provides a clear record that the items were returned and received by the patient, as per hospital policy.

D. Writing a note to the charge nurse: This does not create an official record of the return.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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