Page 1484 - Saunders Comprehensive Review For NCLEX-RN

E. Fiberoptic colonoscopy

1. Description
a. Colonoscopy is a fiberoptic endoscopy
study in which the lining of the large
intestine is visually examined; biopsies
and polypectomies can be performed.
b. Cardiac and respiratory function is
monitored continuously during the
test.
c. Colonoscopy is performed with the
client lying on the left side with the
knees drawn up to the chest; position
may be changed during the test to
facilitate passing of the scope.
2. Preprocedure

a. Adequate cleansing of the colon

is necessary, as prescribed by the
PHCP.
b. A clear liquid diet is started on the day
before the test. Red, orange, and
purple (grape) liquids are to be
avoided.
c. Consult with the PHCP regarding
medications that must be withheld
before the test.
d. Client is NPO for 4 to 6 hours prior to
the test.
e. Moderate sedation is administered
intravenously.
f. Medication may be administered to
relax smooth muscle.
3. Postprocedure
a. Monitor vital signs.
b. Provide bed rest until alert.
c. Monitor for signs of bowel perforation
and peritonitis (Box 48-3).
d. Remind the client that passing flatus,
abdominal fullness, and mild
cramping are expected for several
hours.
e. Instruct the client to report any bleeding
to the PHCP.

The client receiving oral liquid bowel

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