Considering this patient has just had a colonoscopy, the correct answer is A) bowel perforation. A perforation is just a tear in the bowels, but it can be incredibly serious. Patients will often report pain in their abdomen, fevers, and chills when they have a bowel perforation.
This is also a known risk of having a colonoscopy. I mean, you’re letting someone poke around in your colon with metal tools with little idea of what is around the tool. It happens, and the doctors often own up to it and fix it.
However, if it is not a bowel perforation, it could be diverticulitis, but considering this patient’s conditions, it’s probably a bowel perforation. The nurse should check for option A first.
Bowel perforation is the most serious complication of fiberoptic colonoscopy. Important signs include progressive abdominal pain. fever. chills. and tachycardia. which indicate advancing peritonitis. Viral gastroenteritis and colon cancer do not cause these symptoms. Diverticulitis may cause pain. fever. and chills. but is far less serious than perforation and peritonitis.