HESI Case Study - Colonoscopy with Bowel
Perforation Questions with correct answers
What assessment finding indicates to the nurse a need for additional
assessment? Correct Answer-Stool has narrowed in diameter.
How should the nurse respond? Correct Answer-"It's a recommended
routine screen for colon cancer."
Which foods should the nurse instruct the client to eat 24 hours prior to
the procedure? Correct Answer-Jello and clear broth.
When instructing the client about the use of polyethylene glycol
(GoLYTELY), what result should the nurse tell Mr. Jones to expect?
Correct Answer-Frequent, watery stool.
Mr. Jones shares with the nurse that his friend who had the procedure
complained of experiencing a lot of gas afterward. He asked what he can
do to prevent this from happening to him. Correct Answer-Explain that
this is a normal expectation following a colonoscopy.
Mr. Jones calls the clinic and states, "I can't take anymore of the
GoLYTELY. It tastes horrible." Correct Answer-"Use ice to chill the
medication."
, What information should the nurse give to Mr. Jones in response to his
comment? Correct Answer-Have a significant other drive you back to
your residence.
What action should the nurse take in response to the comment by Mr.
Jones? Correct Answer-Notify the client's HCP.
What action should the nurse take first? Correct Answer-Prime the
tubing for the intravenous set.
Which action should the nurse take? Correct Answer-Continue to
monitor the client.
What action should the nurse take immediately? Correct Answer-
Administer flumazenil (Romazicon).
Which assessment finding should the nurse report to the surgeon before
sending the client to the operating room? Correct Answer-Hemoglobin
9.1g/dL and hematocrit 30%
Which is the priority action for the nurse to take? Correct Answer-Place
in a side-lying position.
How many milliliters should the nurse administer? Correct Answer-2
Perforation Questions with correct answers
What assessment finding indicates to the nurse a need for additional
assessment? Correct Answer-Stool has narrowed in diameter.
How should the nurse respond? Correct Answer-"It's a recommended
routine screen for colon cancer."
Which foods should the nurse instruct the client to eat 24 hours prior to
the procedure? Correct Answer-Jello and clear broth.
When instructing the client about the use of polyethylene glycol
(GoLYTELY), what result should the nurse tell Mr. Jones to expect?
Correct Answer-Frequent, watery stool.
Mr. Jones shares with the nurse that his friend who had the procedure
complained of experiencing a lot of gas afterward. He asked what he can
do to prevent this from happening to him. Correct Answer-Explain that
this is a normal expectation following a colonoscopy.
Mr. Jones calls the clinic and states, "I can't take anymore of the
GoLYTELY. It tastes horrible." Correct Answer-"Use ice to chill the
medication."
, What information should the nurse give to Mr. Jones in response to his
comment? Correct Answer-Have a significant other drive you back to
your residence.
What action should the nurse take in response to the comment by Mr.
Jones? Correct Answer-Notify the client's HCP.
What action should the nurse take first? Correct Answer-Prime the
tubing for the intravenous set.
Which action should the nurse take? Correct Answer-Continue to
monitor the client.
What action should the nurse take immediately? Correct Answer-
Administer flumazenil (Romazicon).
Which assessment finding should the nurse report to the surgeon before
sending the client to the operating room? Correct Answer-Hemoglobin
9.1g/dL and hematocrit 30%
Which is the priority action for the nurse to take? Correct Answer-Place
in a side-lying position.
How many milliliters should the nurse administer? Correct Answer-2
