A client is scheduled for a colonoscopy. Which preparation is the most important for the nurse to implement?- Nurselytic

Question 1 of 5

A client is scheduled for a colonoscopy. Which preparation is the most important for the nurse to implement?

A. Administer an enema before the procedure. B. Ensure the client is NPO after midnight. C. Encourage the client to drink clear liquids. D. Verify the client has completed the bowel preparation.

Correct Answer: D

Rationale: Verifying that the client has completed bowel prep ensures the colon is clear for accurate visualization during the procedure.

Question 2 of 5

The nurse is caring for a client with a suspected myocardial infarction (MI). Which laboratory test result is most indicative of a recent MI?

A. Elevated troponin levels B. Increased white blood cell count C. Increased lactate dehydrogenase (LDH) D. Elevated C-reactive protein (CRP)

Correct Answer: A

Rationale: Elevated troponin levels are the most specific and sensitive indicator of myocardial infarction. Troponin levels increase within hours of an MI and remain elevated for several days.

Question 3 of 5

A client is receiving external beam radiation to the mediastinum for treatment of bronchial cancer. Which of the following should take priority in planning care?

A. Esophagitis B. Leukopenia C. Fatigue D. Skin irritation

Correct Answer: B

Rationale: Leukopenia, or a low white blood cell count, is a critical concern in clients undergoing radiation therapy due to increased risk of infection.

Question 4 of 5

A client who is bedridden after a stroke is at risk for developing pressure ulcers. Which nursing intervention is most important in preventing this complication?

A. Apply lotion to the skin every 4 hours. B. Reposition the client every 2 hours. C. Elevate the head of the bed 30 degrees. D. Massage the skin at least twice a day.

Correct Answer: B

Rationale: Repositioning the client every 2 hours is essential in preventing pressure ulcers in bedridden clients.

Question 5 of 5

The mother of a 2-day-old infant girl expresses concern about a 'flea bite' type rash on her daughter's body. The nurse identifies a pink papular rash with vesicles superimposed over the thorax, back, buttocks, and abdomen. Which explanation should the nurse offer?

A. We need to monitor the rash for signs of worsening or fever B. Your baby may have an allergic reaction to laundry detergent C. This is a common newborn rash that will resolve after several days D. This is likely a bacterial infection requiring antibiotics

Correct Answer: C

Rationale: The rash described is typical of erythema toxicum neonatorum, a common and benign newborn rash that resolves on its own within a few days. No treatment is necessary, and the nurse should reassure the mother.

Nurselytic

HESI RN

HESI RN

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