CGRN GI/Endoscopy Practice Exam

Category - Basic Care

A nurse is caring for a client who was ordered to receive an enema before a colonoscopy. Which of the following is the least important to determine before performing the procedure:
  1. Assess whether the client has sphincter control.
  2. Assess whether the client can tolerate sitting up.
  3. Assess if the client can tolerate a left lateral position.
  4. Assess the abdomen.
Explanation
Answer: B - Whether the client can tolerate sitting up or ambulating is unnecessary. The client can use a bedpan to manage elimination needs or remain in bed if he or she cannot tolerate walking or remaining upright. It is important to assess the client’s sphincter control. If the client does not have sphincter control, the nurse must properly position the client in supine position on the bed with a bedpan. Option C is correct; left lateral position is the most preferable position because it allows the flow of solution by gravity into the sigmoid and descending colon.
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