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A client is recovering from an esophagealgroduoesoscopy (EGD) and requests something to drink. What action by the nurse is best?
- A. Provide a small sip of water.
- B. Assess the client's gag reflex.
- C. Remind the client to remain NPO.
- D. Tell the client to wait two hours.
Correct Answer: B
Rationale: The local anesthetic used during an EGD can impair the gag reflex. The nurse should assess the client's gag reflex to ensure it is intact before allowing fluids to prevent aspiration. Providing water, reminding the client to remain NPO, or waiting two hours are not appropriate until the gag reflex is confirmed.
You may also like to solve these questions
The student nurse studying the gastrointestinal system understands that chyme refers to what?
- A. Hormenization that reduces acidity.
- B. Liquedied food ready for digestion
- C. Nutrients after being absorbed
- D. Secretions that help digest food
Correct Answer: B
Rationale: Before being digested, food must be broken down into a liquid form. This liquid is called chyme. Secretin is the hormone that inhibits acid production and decreases gastric motility. Absorption is carried out so the nutrients produced by digestion move from the lumen of the GI tract into the body's circulatory system for uptake into individual cells. The secretions that help digest food include hydrochloric acid, bile, and digestive enzymes.
The nurse working with clients who have gastrointestinal problems knows that which laboratory values are related to what organ dysfunctions? (Select all that apply.)
- A. Alanine aminotransferase: biliary system
- B. Ammonia: liver
- C. Amylase: liver
- D. Lipase: pancreas
- E. Urobilinogen: stomach
Correct Answer: B,D
Rationale: Alanine aminotransferase and ammonia are related to the liver. Amylase and lipase are related to the pancreas. Urobilinogen evaluates both hepatic and biliary function, not the stomach.
A client had an endoscopic retrograde cholangiopancreatography (ERCP). The nurse instructs the client and family about the signs of potential complications, which include what problems? (Select all that apply.)
- A. Cholangitis
- B. Pancreatitis
- C. Perforation
- D. Sepsis
- E. Kidney stones
Correct Answer: A,B,C,E
Rationale: Possible complications after an ERCP include cholangitis, pancreatitis, perforation, sepsis, and bleeding. Kidney stones are not a complication of ERCP.
A client who has been taking antibiotics reports severe, watery diarrhea. About which test does the nurse teach the client?
- A. Colonoscopy.
- B. Enzyme-linked immunosorbent assay (ELISA) toxin A+B
- C. Ova and parasites
- D. Stool culture
Correct Answer: B
Rationale: Severe, watery diarrhea after antibiotic use may indicate Clostridioides difficile infection. The ELISA toxin A+B test is used to detect toxins produced by C. difficile. A colonoscopy, ova and parasites test, or stool culture are not typically warranted for this scenario unless further evaluation is needed.
The options for colon cancer screening for people over the age of 50 include which of the following? (Select all that apply.)
- A. Colonoscopy every 10 years
- B. CT colonography
- C. Double-contrast barium enema
- D. Flexible sigmoidoscopy every 5 years
- E. Fecal occult blood test annually
Correct Answer: A,C,D
Rationale: Colonoscopy every 10 years, CT colonography, double-contrast barium enema, and flexible sigmoidoscopy every 5 years are standard options for colon cancer screening in people over 50. Fecal occult blood test annually is also a screening option, but it was not listed in the original document and is included here for completeness.