What information would a patient need prior to undergoing a colonoscopy?

Clear liquid diet 12 hours before procedure

Bowel cleansing the morning of procedure

Do not hold any medications prior to procedure

Signed consent required

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is A

Explanation

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.

A. “I have just been started on metformin." B. "I am allergic to penicillin.” C. "I have terrible claustrophobia." D. "I have an implanted pacemaker."

Correct Answer is A

Explanation

A. “I have just been started on metformin." Metformin use requires caution with contrast as it increases the risk of lactic acidosis, especially if renal function is impaired.

B. "I am allergic to penicillin": This allergy is unrelated to contrast agents.

C. "I have terrible claustrophobia": Claustrophobia can be managed with anxiolytics and would not necessarily delay the scan.

D. "I have an implanted pacemaker": Pacemakers are not a contraindication for CT scans.

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What information would a patient need prior to undergoing a colonoscopy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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:

Correct Answer is A

Explanation

The statement made by a patient that would delay a scheduled CT scan with contrast would be:

Correct Answer is A

Explanation

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:

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