PRN 1178 UPDATED EXAM SCRIPT QUESTIONS AND
ANSWERS MARKED A+
✔✔Nursing Management for Obstructions - ✔✔Auscltaete 4 quadrants for 5 minutes
each, NPO, manage IV fluids, encourage ambulation, Semi-fowlers positon
✔✔What instances should the nurse call MD due to bowel obstructions? - ✔✔Fecal
odor emesis, pain management brings no relief to patient
✔✔ulcerative colitis - ✔✔chronic inflammation of the colon with presence of ulcers
✔✔Chrohn's disease - ✔✔chronic inflammatory process involving any portion of the GI
tract from the mouth to the anus; can skip segements
✔✔appendicitis - ✔✔inflammation of the appendix; right lower quadrant pain
✔✔Colon Cancer - ✔✔a tumor with the colon/large intestine
✔✔colon cancer prevention - ✔✔High fiber diet, diet low in animal fat/red meats. diet
high in Vit. C, selenium, and calcium Carbonate. Colonoscopy at age 50
✔✔What is colonoscopy? - ✔✔When a flexible fiber optic tube (coloscope) is inserted
through the anus to visualize the rectum, sigmoid, desceding, transverse and ascending
colon.
✔✔Colonoscopy indications - ✔✔- rectal bleeding
- change in bowel habits
- colon polyp removal
- colon cancer screening
- IBD
- abdominal pain
- unintentional weight loss
- Iron deficiency anemia
✔✔Colonoscopy nursing considerations - ✔✔moderate sedation, positioned on left side,
clear liquid diet before and NPO after diet, laxatives like polyethylene glycol utilized
before (has to be finished), speak with provider about medications to take and which to
hold, monitor for rectal bleeding/change is vital signs, expect increased flatus post-
procedure, resume typical diet, increase fluid intake, don't drive 12-18 hours after
procedure
✔✔GI therapeutic procedures - ✔✔adequate nutritional intake/diet plans, enteral
feedings (G-tube), TPN, Ostomies
ANSWERS MARKED A+
✔✔Nursing Management for Obstructions - ✔✔Auscltaete 4 quadrants for 5 minutes
each, NPO, manage IV fluids, encourage ambulation, Semi-fowlers positon
✔✔What instances should the nurse call MD due to bowel obstructions? - ✔✔Fecal
odor emesis, pain management brings no relief to patient
✔✔ulcerative colitis - ✔✔chronic inflammation of the colon with presence of ulcers
✔✔Chrohn's disease - ✔✔chronic inflammatory process involving any portion of the GI
tract from the mouth to the anus; can skip segements
✔✔appendicitis - ✔✔inflammation of the appendix; right lower quadrant pain
✔✔Colon Cancer - ✔✔a tumor with the colon/large intestine
✔✔colon cancer prevention - ✔✔High fiber diet, diet low in animal fat/red meats. diet
high in Vit. C, selenium, and calcium Carbonate. Colonoscopy at age 50
✔✔What is colonoscopy? - ✔✔When a flexible fiber optic tube (coloscope) is inserted
through the anus to visualize the rectum, sigmoid, desceding, transverse and ascending
colon.
✔✔Colonoscopy indications - ✔✔- rectal bleeding
- change in bowel habits
- colon polyp removal
- colon cancer screening
- IBD
- abdominal pain
- unintentional weight loss
- Iron deficiency anemia
✔✔Colonoscopy nursing considerations - ✔✔moderate sedation, positioned on left side,
clear liquid diet before and NPO after diet, laxatives like polyethylene glycol utilized
before (has to be finished), speak with provider about medications to take and which to
hold, monitor for rectal bleeding/change is vital signs, expect increased flatus post-
procedure, resume typical diet, increase fluid intake, don't drive 12-18 hours after
procedure
✔✔GI therapeutic procedures - ✔✔adequate nutritional intake/diet plans, enteral
feedings (G-tube), TPN, Ostomies
