When instructing the patient about a colonoscopy, you would include that: (Select all that apply.)

There is often some rectal bleeding afterward.

The prep for the procedure begins 24 to 48 hours beforehand.

it is okay to drive home afterward.

Sedation will be given before the procedure.

Cranberry juice is encouraged pre-procedure to minimize the risk of urinary tract infection (UTI).

Answer and Explanation

Correct Answer : B,D

A. There is often some rectal bleeding afterward: Rectal bleeding is not common; its presence should be reported.

B. The prep for the procedure begins 24 to 48 hours beforehand. Bowel prep, including laxatives and a clear liquid diet, typically begins 1-2 days prior to the procedure.

C. It is okay to drive home afterward: Sedation impairs the ability to drive; transportation arrangements are necessary.

D. Sedation will be given before the procedure. Sedation is routinely used to minimize discomfort during the procedure.

E. Cranberry juice is encouraged pre-procedure to minimize the risk of urinary tract infection (UTI): Cranberry juice has no relevance to colonoscopy preparation.

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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.

A. Pass a small amount of urine into the toilet and then collect the specimen. B. Void until the bladder is almost empty and then collect the end portion of the voiding in the cup. C. Let a few drops of urine dribble into the specimen cup. D. Begin voiding into the specimen cup.

Correct Answer is A

Explanation

A. Pass a small amount of urine into the toilet and then collect the specimen. This technique ensures that bacteria or debris from the urethra are flushed out before the sample is collected, providing a clean-catch specimen for analysis.

B. Void until the bladder is almost empty and then collect the end portion: This would result in a less accurate sample, as bacteria or debris might accumulate.

C. Let a few drops of urine dribble into the specimen cup: This does not provide enough urine for analysis.

D. Begin voiding into the specimen cup: This may contaminate the sample with bacteria from the external genitalia.

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When instructing the patient about a colonoscopy, you would include that: (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

For the patient who just had a liver biopsy performed, the nurse should position him:

Correct Answer is A

Explanation

The nurse instructing in the collection of a midstream urine catch would tell the patient to first cleanse the external genitalia and then to:

Correct Answer is A

Explanation

A patient's condition warrants a transfer from intensive care to a regular nursing unit in the same acute care facility. Before assisting with the patient's move. the nurse notes that the transfer has been authorized by the:

The nurse obtaining a wound culture would:

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