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. 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. cardiac pacemakers. B. allergy to iodine. C. automatic implantable cardiac defibrillators D. metal hip prosthesis. E. bleeding tendencies.

Correct Answer is ["A","C","D"]

Explanation

A. Cardiac pacemakers: MRIs use strong magnets that can interfere with pacemaker function.

B. Allergy to iodine: Iodine is used in contrast for CT scans, not MRI, so this is not a contraindication.

C. Automatic implantable cardiac defibrillators: Similar to pacemakers, these devices can malfunction or pose risks during MRI.

D. Metal hip prosthesis: Metal can become heated or shifted due to the magnetic field, posing a risk to the patient.

E. Bleeding tendencies: While bleeding tendencies are a concern for invasive procedures, they are not a contraindication for MRI.

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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

New orders have been written by the primary care provider for a patient admitted to a skilled nursing facility. After transcription, the orders will be verified by the:

Correct Answer is D

Explanation

The nurse is aware that patients who are not candidates for magnetic resonance imaging (MRI) include patients with: (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

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