NHA Certified Clinical Medical Assistant (CCMA)Clinical Patient CareMedium
A medical assistant is preparing a patient for a sigmoidoscopy. Which of the following instructions should the MA provide to the patient regarding preparation?
- AAvoid all liquids for 12 hours before the procedure.
- BPerform a bowel preparation using an enema prior to the procedure.
- CTake all regular medications as usual on the day of the procedure.
- DConsume a light breakfast on the morning of the procedure.
Show answer & explanationAnswer & explanation
Correct answer: B. Perform a bowel preparation using an enema prior to the procedure.
A bowel preparation, typically involving an enema, is crucial for a sigmoidoscopy to cleanse the lower colon and rectum, allowing for clear visualization of the mucosal lining.
Why the other options are wrong
- A. Avoiding all liquids for 12 hours is generally too restrictive; a clear liquid diet is often permitted or encouraged up to a few hours before.
- C. While some essential medications may be taken, many, especially those affecting blood clotting or bowel motility, may need adjustment or temporary discontinuation per physician's orders.
- D. Consuming a light breakfast is incorrect; patients usually need to fast or be on a clear liquid diet to ensure the bowel is empty.
Sigmoidoscopy Prep
Sigmoidoscopy preparation involves dietary restrictions and bowel cleansing (often with enemas) to ensure a clear view of the lower colon and rectum.
- Clear liquid diet day before.
- Bowel prep (e.g., enemas) required.
- NPO for a few hours before.
- Medication adjustments may be needed.
Memory trick: Enemas Ensure Empty Entry