A Doctor orders a gastrointestinal endoscopy with a capsule endoscopic device. What should the nurse instruct the client to do?

Appeared in: ISRO 2024

Explanation

Capsule endoscopy involves a recorder worn on a belt that receives data from sensors on the abdomen.
Stooping and bending can displace the sensors or interfere with the wireless signal transmission between the capsule and the recorder.
Maintaining normal, non-strenuous activity is key to ensuring the equipment functions correctly and the test is successful.
This instruction directly relates to preventing technical failure of the diagnostic procedure.

Option A: Checking the recorder only once per hour is insufficient. If the device stops recording, a significant amount of diagnostic data could be lost before the problem is noticed.
Option B: A complete fast throughout the entire 8-hour procedure is not necessary. This instruction would cause needless discomfort and is not standard protocol.
Option D: There is no therapeutic or procedural reason to swallow the capsule with extreme speed. The client simply swallows it with water at the start of the test.

Clinical Relevance

Nursing practice connection: Use the key finding related to Patient education and nursing instructions for a client undergoing capsule endoscopy to guide bedside assessment, documentation, and the next nursing action.
The nurse's role in patient education is critical for the success of diagnostic procedures like capsule endoscopy. Clear, accurate instructions prevent test failures and the need for repeat procedures.
Failure to follow activity restrictions can lead to an incomplete study, delaying diagnosis and treatment for conditions like obscure GI bleeding.
What if the patient calls and says they accidentally bent over to tie their shoe? The nurse should reassure the patient, ask them to check that the recorder light is still blinking, and advise them to continue avoiding such movements. A single, brief instance is unlikely to ruin the test, but repeated movements will.

How to Approach the Question

First, identify the core subject of the question: patient instructions for a capsule endoscopy.
Recall the key steps and requirements of this procedure. Think about the equipment involved (capsule, sensors, recorder) and how it works.
Evaluate each option based on your knowledge of the procedure's protocol.
Option A (check recorder): Is the frequency correct? No, it's usually more frequent.
Option B (food/fluid): Is total fasting required? No, it's modified after a few hours.
Option C (activity): Are there activity restrictions? Yes, to protect the equipment and signal.

Concept Tested & Keywords

Concept Tested: Patient education and nursing instructions for a client undergoing capsule endoscopy.
Stem keywords: capsule endoscopic device, gastrointestinal endoscopy, nurse instruct
Lead-in keywords: What should the nurse instruct
Negative lead-in flag: false

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E6 Nursing Brunner Adult Health 3SA Vol 1 Part 2 p. 83-85

Practise the full ISRO 2024

Attempt every question from this paper in a timed mock, then review the full solution for each one.