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Author Question: A client is scheduled for a colonoscopy and the nurse has provided instructions on the bowel ... (Read 139 times)

hubes95

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on: Jun 25, 2018
A client is scheduled for a colonoscopy and the nurse has provided instructions on the bowel cleansing regimen. What statement by the client indicates a need for further teaching?
 
  a. It's a good thing I love orange and cherry gelatin.
  b. My spouse will be here to drive me home.
  c. I should refrigerate the GoLYTELY before use.
  d. I will buy a case of Gatorade before the prep.

Question 2

A client is having an esophagogastroduode noscopy (EGD) and has been given midazolam hydrochloride (Versed). The client's respiratory rate is 8 breaths/min. What action by the nurse is best?
 
  a. Administer naloxone (Narcan).
  b. Call the Rapid Response Team.
  c. Provide physical stimulation.
  d. Ventilate with a bag-valve-mask.


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ciecieme

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Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: A
The client should be advised to avoid beverages and gelatin that are red, orange, or purple in color as their residue can appear to be blood. The other statements show a good understanding of the preparation for the procedure.

Answer to Question 2

ANS: C
For an EGD, clients are given mild sedation but should still be able to follow commands. For shallow or slow respirations after the sedation is given, the nurse's first action is to provide a physical stimulation such as a sternal rub and directions to breathe deeply. Naloxone is not the antidote for Versed. The Rapid Response Team is not needed at this point. The client does not need manual ventilation.


hubes95

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Reply #2 on: Jun 25, 2018
Correct answers!


ciecieme

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Reply #3 on: Jun 25, 2018
Great! Please up vote :D


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