NSE 22A/B Study Guide - Final Guide: Palpation, Hydromorphone, Peritonitis
22 Dec 2016
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Scenario: mr. bill jones is a 50 year old who has a family history of colon cancer. He presents to the clinic for his annual physical. Legal preparation: needed forms (ex: informed consent) Client education on colonoscopy by the nurse. Goals of procedure: screen rectum and colon. Dietary restrictions: consume clear fluids 24h prior. Bowel preparation: 2l of polyethylene (golytely) solution 24h prior. Polyethylene: a saline and osmotic laxative solution that causes retention of fluid in intestinal lumen from the osmotic effect. Its purpose is to clean all the feces from the colon. By the end of the preparation, most clients will be expelling almost clear and watery stool. Procedural expectations: they will experience gas following the procedure caused by air that was pumped into the colon during the procedure. The gas should be expelled normally to prevent painful distention. After procedure: weakness and sedation may still appear after procedure, arrangements for transportation should be made.
