Special Considerations in Patient Assessment and Documentation
Special Considerations in Patient Assessment and Documentation ( 6 Questions)
A nurse is obtaining informed consent from a client who is scheduled for a colonoscopy.
Which of the following statements by the client indicates a need for further clarification?
This is a correct statement, as sedation is usually administered during a colonoscopy to reduce discomfort and anxiety.
This is a correct statement, as drinking clear liquids before the procedure helps to cleanse the bowel and improve visualization.
This is a correct statement, as abdominal cramps and gas are common after a colonoscopy due to air insufflation during the procedure. The client should be advised to ambulate and pass gas as tolerated to relieve these symptoms.
The client should be informed that they cannot drive themselves home after the procedure, as they will be under the influence of sedation and may experience drowsiness, impaired judgment, and delayed reaction time. The client should arrange for a responsible adult to accompany them home and stay with them until the effects of sedation wear off.
"I think that I can drive myself home after the procedure."
Rationale: The client should be informed that they cannot drive themselves home after the procedure, as they will be under the influence of sedation and may experience drowsiness, impaired judgment, and delayed reaction time. The client should arrange for a responsible adult to accompany them home and stay with them until the effects of sedation wear off.
Incorrect options:
A) "I understand that I will be sedated during the procedure." - This is a correct statement, as sedation is usually administered during a colonoscopy to reduce discomfort and anxiety.
B) "I know that I have to drink a lot of clear liquids before the procedure." - This is a correct statement, as drinking clear liquids before the procedure helps to cleanse the bowel and improve visualization.
C) "I expect that I will have some abdominal cramps and gas after the procedure." - This is a correct statement, as abdominal cramps and gas are common after a colonoscopy due to air insufflation during the procedure. The client should be advised to ambulate and pass gas as tolerated to relieve these symptoms.