Which factor should the nurse consider when providing care for this client?
A client is receiving a bowel preparation of magnesium citrate the evening before a scheduled colonoscopy.
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A. Antidiarrheal medication should be given if the client has more than two loose stools. B. Eating large meals should be encouraged to prevent weight loss. C. The client may require fluid and electrolyte replacement. D. Side rails should be raised at all times.
A colonoscopy is a procedure where the doctor looks in the patient’s colon for any traces of cancer. However, prior to having this procedure, the patient must spend the day before usually sitting on the toilet.
This is because the patient was required to drink a terrible drink prescribed by the doctor. This medicine makes the patient empty their system. The colon must be empty. However, it is important for the patient to not get dehydrated.
In order to do this, the patient may have clear fluids like water and juice. The nurse should consider the effects of a person who is preparing for this surgery. If this person struggles with dehydration already, then the colonoscopy may not be a good procedure to have when the patient has a problem.
Magnesium citrate is part of a bowel preparation regimen, or as a rescue method when the patient does not tolerate standard preparation. Antidiarrheal medications should be administered if the patient has more than two loose stools.
Dehydration caused by laxatives are usually given during the bowel preparation for colonoscopy also may occur. These patients need to drink a lot of fluids during the days of colonoscopy also may occur. Fluids are given to the patient to prevent from dehydrating. Antidiarrheal preparations should be given if the client has more than two loose stools.
The client may require fluid and electrolyte replacement.-rationale: bowel preparation, which usually involves laxatives and sometimes enemas, may cause severe fluid and electrolyte loss. the nurse should monitor the client for dehydration and electrolyte loss. diarrhea is expected after bowel preparation and shouldnt be treated. most clients eat a light meal the evening before the procedure or are ordered a clear liquid diet. raising the side rails may increase the risk of fall for a client with frequent diarrhea.client needs category: physiological integrityclient needs subcategory: reduction of risk potentialcognitive level: analysisreference: craven, r.f., and hirnle, c.j. fundamentals of nursing: human health and function, 5th ed. philadelphia: lippincott williams & wilkins, 2007, p. 1130.