Certified Gastroenterology RN Pre and Post-Procedure Care 4

Question 1

During bowel prep, an elderly patient reports dizziness, and assessment reveals tachycardia and orthostatic hypotension. What is the priority nursing concern?

Accepted Answer

Dehydration and electrolyte imbalance from the prep

Answer

Large-volume bowel preps can cause significant fluid and electrolyte losses, especially in older adults.

Question 2

Which bowel prep agent should the nurse question for a patient with chronic kidney disease?

Accepted Answer

Sodium phosphate-based prep

Answer

Sodium phosphate preps can cause phosphate nephropathy and are avoided in renal impairment.

Question 3

Immediately after PEG tube placement, which nursing action is appropriate?

Accepted Answer

Keep the site assessment and feeding initiation per protocol, typically delaying feeding until ordered

Answer

Feedings are started only per provider order and protocol after placement, with site checks for bleeding or leakage in the interim.

Question 4

After esophageal dilation, which symptom should the patient be taught to report immediately?

Accepted Answer

Chest pain with fever or difficulty breathing

Answer

Chest pain with fever or dyspnea after dilation suggests esophageal perforation with possible mediastinitis.

Question 5

A patient is being prepared for flexible sigmoidoscopy without sedation. Which teaching point is accurate?

Accepted Answer

You may feel pressure and cramping as air is introduced

Answer

Unsedated sigmoidoscopy commonly causes pressure and cramping from insufflation, which patients should expect.

Certified Gastroenterology RN Practice Test

Certified Gastroenterology RN Practice Test

Certified Gastroenterology RN Pre and Post-Procedure Care 4