The nurse is teaching a client scheduled for a colonoscopy on pre- and post-procedure care. Which statement by the client indicates the need for further teaching?
A) "I will likely have medications that will make me drowsy during the test."
B) "It might be quite painful."
C) "The physician might take tissue samples for further analysis."
D) "The procedure will only take about 1 hour."
Answer: B
The colonoscopy is not a painful examination. It usually takes about an hour. The client will be given conscious sedation, which causes drowsiness. Tissue samples are often taken during colonoscopies.
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An older patient with heart disease asks the nurse what foods can be eaten to help reduce any further problems with the disease. What should the nurse instruct this patient? (Select all that apply.)
A) Use cold-pressed olive oil B) Increase the intake of fiber C) Reduce the intake of fried foods D) Avoid fish rich in omega-3 fatty acids E) Avoid all caffeine and other stimulants
The nurse is working in the emergency department interacting with clients of various disease processes and injuries. When completing a head-to-toe assessment, which standard assessment technique is most important?
A) Complete the assessment in a structured format. B) Instruct the client on what you will be doing. C) Maintain standard precautions throughout the exam. D) Ask permission to complete an assessment.
The nurse is preparing to admit a client diagnosed with anaphylactic shock. The nurse understands that anaphylactic shock can have which triggers?
A) Drugs B) Foods C) Hyperthermia D) Proteins E) Inactivity
The nurse is beginning a therapeutic relationship with a patient. Which nursing action is an example of the orientation phase of this relationship? (Select all that apply.)
1. Assessing the patient's limitations 2. Clarifying the patient's expectations for care 3. Educating the patient about the patient's health problem 4. Identifying resources that will be used in the first interaction 5. Reviewing the patient's history in the patient's medical record