NU371 Week 6 HESI Case Study Colonoscopy with Bowel
Perforation Questions And Answers
A client visits the clinic for a routine physical checkup and reports a family medical
history of colon cancer. The nurse asks the client about his elimination patterns.
For the following client data, which one would the nurse suspect that this client needs
further assessment?
o Increased flatulence.
o Bowel movement every other day.
o Blood on paper when constipated.
o Change in bowel habits.
o Change in bowel habits.
• A change in bowel habits is one of the 7 warning signs of cancer.
487
What does the nurse explain to the client?
o A colonoscopy is a routine screening for colon cancer.
o A colonoscopy examines whether or not the client has Crohn's disease.
,o A HCP ordered a colonoscopy.
o A colonoscopy must be performed to evaluate hemorrhoids existing prior to this
illness.
o Explain to him that a colonoscopy is a routine screening for colon cancer.
· The American Cancer Society advises that people at average risk of colorectal cancer
should have a colonoscopy every 10 years, starting at age 50. Some individuals may
start earlier or have it done more often based on their personal risk factors.
The HCP orders a screening colonoscopy. The client asks the nurse why he needs to
have a colonoscopy if he does not feel sick. The nurse educates the client in preparation
for the prescribed colonoscopy. The education includes dietary restrictions, bowel
preparation, and what to expect during the procedure.
Which foods should the nurse instruct the client are appropriate to consume 24 hrs
before the procedure?
o Whole grain toast and yogurt.
o Fresh apple and raw broccoli.
o Jello and clear broth.
o Roast beef and scrambled eggs.
o Jello and clear broth.
· Clear liquids can be taken by the client 24 hours prior to the procedure so the colon
will be clear, thus easy to visualize.
, Two liters of polyethylene glycol solution are ordered to be taken by the client the day
before the procedure. When teaching the client about the administration of polyethylene
glycol, what outcome should the nurse instruct the client to expect?
o Frequent, watery stool.
o Black, tarry feces.
o Gastric reflux.
o Metallic taste in mouth.
o Frequent, watery stool.
· Polyethylene glycol is a saline and osmotic laxative solution that results in retention of
fluid in the intestinal lumen from the osmotic effect. The goal is to cleanse the colon of
all feces. By completion of the preparation, most clients are passing almost clear,
watery stool.
The client tells the nurse that his friend who had the procedure said he had a lot of gas
afterwards. He asks what he can do to prevent this from happening to him. What can the
nurse respond?
á He can be reassured that everyone has gas and no one thinks anything of it.
á This is a normal expectation after a colonoscopy.
o Explain to him that it is prevented by adequate bowel preparation.
Perforation Questions And Answers
A client visits the clinic for a routine physical checkup and reports a family medical
history of colon cancer. The nurse asks the client about his elimination patterns.
For the following client data, which one would the nurse suspect that this client needs
further assessment?
o Increased flatulence.
o Bowel movement every other day.
o Blood on paper when constipated.
o Change in bowel habits.
o Change in bowel habits.
• A change in bowel habits is one of the 7 warning signs of cancer.
487
What does the nurse explain to the client?
o A colonoscopy is a routine screening for colon cancer.
o A colonoscopy examines whether or not the client has Crohn's disease.
,o A HCP ordered a colonoscopy.
o A colonoscopy must be performed to evaluate hemorrhoids existing prior to this
illness.
o Explain to him that a colonoscopy is a routine screening for colon cancer.
· The American Cancer Society advises that people at average risk of colorectal cancer
should have a colonoscopy every 10 years, starting at age 50. Some individuals may
start earlier or have it done more often based on their personal risk factors.
The HCP orders a screening colonoscopy. The client asks the nurse why he needs to
have a colonoscopy if he does not feel sick. The nurse educates the client in preparation
for the prescribed colonoscopy. The education includes dietary restrictions, bowel
preparation, and what to expect during the procedure.
Which foods should the nurse instruct the client are appropriate to consume 24 hrs
before the procedure?
o Whole grain toast and yogurt.
o Fresh apple and raw broccoli.
o Jello and clear broth.
o Roast beef and scrambled eggs.
o Jello and clear broth.
· Clear liquids can be taken by the client 24 hours prior to the procedure so the colon
will be clear, thus easy to visualize.
, Two liters of polyethylene glycol solution are ordered to be taken by the client the day
before the procedure. When teaching the client about the administration of polyethylene
glycol, what outcome should the nurse instruct the client to expect?
o Frequent, watery stool.
o Black, tarry feces.
o Gastric reflux.
o Metallic taste in mouth.
o Frequent, watery stool.
· Polyethylene glycol is a saline and osmotic laxative solution that results in retention of
fluid in the intestinal lumen from the osmotic effect. The goal is to cleanse the colon of
all feces. By completion of the preparation, most clients are passing almost clear,
watery stool.
The client tells the nurse that his friend who had the procedure said he had a lot of gas
afterwards. He asks what he can do to prevent this from happening to him. What can the
nurse respond?
á He can be reassured that everyone has gas and no one thinks anything of it.
á This is a normal expectation after a colonoscopy.
o Explain to him that it is prevented by adequate bowel preparation.
