Author Question: The client is seen in the gastroenterology clinic after having experienced changes in his bowel ... (Read 37 times)

abc · **on:** Jul 22, 2018

The client is seen in the gastroenterology clinic after having experienced changes in his bowel elimination. A colonoscopy is ordered and the client has questions about the examination.

What information should the nurse give the client before the colonoscopy? a. No special preparation is required.
b. Light sedation is normally used.
c. No metallic objects are allowed.
d. Swallowing of an opaque liquid is required.

Question 2

On inspection of the patient's wound, the nurse notes that it appears infected and has a large amount of exudate. Which of the following is an appropriate dressing for the nurse to select based on this wound assessment?

a. Foam
b. Hydrogel
c. Hydrocolloid
d. Transparent film

vkodali · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Light sedation is required for a colonoscopy.
Special preparation is required before a colonoscopy. Clear liquids are given the day before, to be followed by some form of bowel cleanser, such as GoLYTELY. Enemas until clear also may be ordered.
No restriction of metallic objects is made for a colonoscopy.
A colonoscopy does not require the swallowing of an opaque liquid.

Answer to Question 2

A

Feedback
A Foam dressings are useful for wounds with large amounts of drainage or to assist with autolytic debridement because they can be left in place for as long as seven days. This would be the most appropriate type of dressing for this wound.
B A hydrogel dressing donates moisture to the wound bed. This type of dressing hydrates the wound and absorbs some smaller amounts of exudates, but it would not be appropriate for a wound with a large amount of exudate.
C A hydrocolloid dressing is adhesive and occlusive. This type of dressing supports healing in clean, granulating wounds, and is most useful on shallow to moderately deep wounds. It should not be used in heavily draining wounds or full-thickness or infected wounds.
D Transparent film traps the wound's moisture over the wound, providing a moist environment. It is used for small, superficial wounds. Transparent film is not appropriate for a wound with a large amount of exudate.