The clinic nurse provides teaching for a client scheduled for a barium enema the next day. Which statement by the client shows a need for further instruction?

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11ecbb05_c9b7_f7ae_b433_a56cce5f952d_MD0009_00 A barium enema, or lower gastrointestinal series, uses fluoroscopy to visualize the colon outlined by contrast to detect polyps, ulcers, tumors, and diverticula. This procedure is contraindicated for clients with acute diverticulitis as it may rupture inflamed diverticula and cause subsequent peritonitis. Preprocedure instructions include: Take a cathartic (eg, magnesium citrate, polyethylene glycol) to empty stool from the colon. Follow a clear liquid diet the day before the procedure to aid in bowel preparation and to prevent dehydration; avoid red and purple liquids. Do not eat or drink anything 8 hours before the test (Option B). Expect to be placed in various positions during the procedure. You may experience abdominal cramping and an urge to defecate (Option C). Postprocedure instructions include: Expect the passage of chalky, white stool until all barium contrast has been expelled (Option A). Take a laxative (eg, magnesium hydroxide [Milk of Magnesia]) to assist in expelling the barium. Retained barium can lead to fecal impaction (Option D). Drink plenty of fluids to promote hydration and eat a high-fiber diet to prevent constipation. Educational objective: A barium enema uses fluoroscopy with contrast to evaluate for colon abnormalities. Before the procedure, clients undergo bowel preparation using cathartics and a clear liquid diet. Laxatives after the procedure assist in expelling the contrast.

The Clinic Nurse Provides Teaching for a Client Scheduled for a Barium