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 A
Explanation
A. Stabilize the holder when changing tubes. Stabilizing the holder prevents accidental movement of the needle, ensuring proper blood flow into the tube and minimizing discomfort or injury to the patient.
B. Withdraw the holder and tube at the same time: The holder should remain in place until all samples are collected to prevent repeated venipunctures.
C. Replace the tube stopper firmly for each sample: The tube stopper should not be removed or replaced during the procedure.
D. Release the tourniquet after successful venipuncture: The tourniquet should be released after blood flow is established and before the needle is withdrawn, not as the first priority.
Correct Answer is A
Explanation
A. On his right side lying for 2 hours. Placing the patient on the right side applies pressure to the biopsy site, reducing the risk of bleeding from the liver.
B. Supine for 3 hours: Does not apply targeted pressure to the biopsy site, increasing bleeding risk.
C. Prone for 1 hour: This position is not relevant to liver biopsy care.
D. On his left side lying for 4 hours: Incorrect, as it does not apply pressure to the biopsy site on the right side.
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