An 85-year-old male patient is aware of the need for a colonoscopy; however, he has a history of severe electrolyte imbalances associated with bowel preps for diagnostic tests. Which intervention should the nurse plan?
1. Discuss the option of having a flexible sigmoidoscopy instead.
2. Investigate medications the patient can take after the colonoscopy to correct the electrolyte imbalances.
3. Discuss the option of not having the colonoscopy.
4. Consider the option of delaying the colonoscopy for a year.
3
Rationale 1: It is not a U.S. Preventive Services Task Force recommendation to substitute a flexible sigmoidoscopy for a colonoscopy. Sigmoidoscopy also requires bowel prep.
Rationale 2: There is not enough information to determine that the patient should have the colonoscopy and be treated for electrolyte imbalances afterward.
Rationale 3: The appropriate age to discontinue colorectal cancer screening is unknown; however, the burden of screening may outweigh the potential benefits in patients of advanced age who have comorbid conditions that limit life expectancy. The patient should discuss the benefits and potential harm associated with the colonoscopy with his health care provider.
Rationale 4: Delaying the colonoscopy for a year will not correct the problem with electrolyte balance and bowel prep.
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in his room. The nurse assesses for signs of undernutrition, and an x-ray study reveals that he has osteomalacia, which is a deficiency of: a. Iron. b. Riboflavin. c. Vitamin D and calcium. d. Vitamin C.
A family asks the nurse why their son was diagnosed with PTSD and others in the accident were not. Which of the following information should the nurse offer? (Select all that apply.)
1. An individual's religious affiliation can affect response to trauma. 2. Responses are affected by how an individual handled previous trauma. 3. Protectiveness of family and friends can help an individual deal with trauma. 4. Control over the possibility of recurrence can affect the response to trauma. 5. The time in which the trauma occurred can affect the individual's response.
What will a patient from the Mexican culture explain to the nurse as the cause of an illness?
A. An imbalance within the body B. Punishment from an ancestor C. Warning from God to live a better life D. Inevitable with no method to prevent it from occurring
If rubella vaccine is indicated for a postpartum client, instructions to the client should include:
a. drinking plenty of fluids to prevent fever. b. no specific instructions. c. the recommendation to stop breastfeeding for 24 hours after the injection. d. an explanation of the risks of becoming pregnant within 28 days following injection.