Nokea
The nurse is caring for a client recovering from an esophagogastroduodenoscopy (EGD). Which of the following client symptoms would require further nursing assessment?
- A. Drowsiness
- B. Abdominal distention
- C. Sore throat
- D. Thirst
Correct Answer: B
Rationale: The nurse is correct to fully assess the client experiencing abdominal distention following an esophagogastroduodenoscopy (EGD). Abdominal distention could indicate complications such as perforation and bleeding. The client experiences drowsiness from the sedative during the early recovery process and a sore throat from passage of the scope. The client may also experience thirst because the client has not had liquids for a period of time.
You may also like to solve these questions
The nurse is instructing the client on sensations commonly experienced when a contrast agent is injected into the body during diagnostic studies. Which sensation is most common?
- A. Light-headedness
- B. A warm sensation
- C. Heart palpitations
- D. Chills
Correct Answer: B
Rationale: The nurse informs the client of the potential to experience a warm sensation and nausea when the contrast agent is instilled. The client is instructed to take a couple of deep breaths, and, many times, the sensation will go away. The other options are not frequently encountered.
The nurse is scheduling gastrointestinal (GI) diagnostic testing for a client. Which GI test should be scheduled first?
- A. Radiography of the gallbladder
- B. Barium enema
- C. Small bowel series
- D. Barium swallow
Correct Answer: A
Rationale: Radiography of the gallbladder should be performed before the other GI exams listed in which barium is used because residual barium tends to obscure the images of the gallbladder and its duct.
The instructor has just finished teaching a group of students about the various organs of the upper gastrointestinal tract and possible disorders. The instructor determines that the teaching was successful when the students identify which structure as possibly being affected?
- A. Liver
- B. Ileum
- C. Stomach
- D. Large Intestine
Correct Answer: C
Rationale: The upper gastrointestinal (GI) tract begins at the mouth and ends at the jejunum. Therefore, the stomach would be a component of the upper GI tract. The lower GI tract begins at the ileum and ends at the anus. The liver is considered an accessory structure.
A client has undergone a barium swallow test. Which would be an appropriate action by the nurse to ensure that the client does not retain any barium after a barium swallow?
- A. Placing any stool passed in a specific preservative
- B. Monitoring the stool passage and its color
- C. Observing the color of urine
- D. Monitoring the volume of urine
Correct Answer: B
Rationale: Monitoring stool passage and its color will ensure that the client eliminates barium following a barium swallow test. The white or clay color of the stool would indicate barium retention. The stool should be placed in a special preservative if the client undergoes a stool analysis. Observing the color and volume of urine will not ensure that the client is barium free because barium is not eliminated through urine but through stool.
The nurse is reviewing the results of a Hemoccult test with the client. Which question(s) asked by the nurse is important in screening for the potential of a false-positive result? Select all that apply.
- A. Do you take an iron supplement on a daily basis?
- B. Does your diet include a moderate amount of vitamin C?
- C. Are you prescribed regular strength aspirin daily?
- D. Can you tell me the amount of alcohol that you drink on an average week?
- E. When was the last time that you included red meat in your diet?
Correct Answer: C,D,E
Rationale: When obtaining a positive Hemoccult test, the client needs to be screened for a false-positive test result. Substances that may cause a false-positive include red meat, aspirin, and excessive alcohol. Screening for the frequency and amount of these are important. False-negative results are screened in individuals who ingest ascorbic acid and iron supplements.