A client who is scheduled for a barium swallow asks the nurse why a laxative is necessary following the procedure. Which of the following responses should the nurse make?

"The laxative helps eliminate the barium."

"The laxative is the protocol at this facility."

"The laxative makes the barium turn brown."

"The laxative will prevent the absorption of magnesium."

Answer and Explanation

The Correct Answer is A

Choice A reason:

This statement is correct. The laxative helps eliminate the barium contrast material from the body after a barium swallow procedure.

Choice B reason:

Simply stating that it is protocol does not provide the client with a clear understanding of the rationale for the laxative.

Choice C reason:

This statement does not accurately explain the purpose of the laxative after a barium swallow.

Choice D reason:

The laxative's primary purpose in this context is to aid in the elimination of barium, not to prevent magnesium absorption.

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Correct Answer is A

Explanation

Choice A reason:

This presentation of hepatic encephalopathy includes severe manifestations, such as profound confusion, difficulty in arousal, and the presence of rigidity, indicating advanced neurological impairment. This places the patient in Stage 4, which is the most severe stage of hepatic encephalopathy.

Choice B reason:

Stage 3 is characterized by severe symptoms, such as drowsiness, anxiety, seizures, severe personality changes, confused speech, and shaky hands.

Choice C reason:

Stage 1 is characterized by mild symptoms, such as difficulty thinking, personality changes, poor concentration, and problems with handwriting.

Choice D reason

Stage 2 is characterized moderate symptoms, such as confusion, forgetfulness, poor judgment, and a musty or sweet breath odor.

A. Take the medication on an empty stomach. B. Take at bedtime to mitigate the effects of drowsiness. C. Take up to one extra dose per day if stomach pain persists. D. Avoid drinking alcohol while taking the drug.

Correct Answer is D

Explanation

Choice A reason:

Taking metronidazole with food can help reduce stomach upset. It is not typically recommended to take on an entirely empty stomach.

Choice B reason:

Metronidazole can cause drowsiness, but taking it at bedtime specifically for this reason is not a standard recommendation. It's more important to focus on avoiding alcohol.

Choice C reason:

Taking an extra dose without specific medical advice is not recommended. It's important to follow the prescribed dosing regimen.

Choice D reason:

Avoiding alcohol while taking metronidazole is crucial. The combination of metronidazole and alcohol can cause severe reactions, including nausea, vomiting, abdominal cramps, headache, and flushing. This interaction can occur for several days after discontinuing metronidazole, so it's essential to abstain from alcohol throughout the course of treatment.

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A client who is scheduled for a barium swallow asks the nurse why a laxative is necessary following the procedure. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient with hepatic encephalopathy. The nurse's assessment reveals that the patient exhibits episodes of confusion, is difficult to arouse from sleep and has rigid extremities. Based on these clinical findings, the nurse should document what stage of hepatic encephalopathy?

Correct Answer is A

Explanation

A patient with a peptic ulcer disease has had metronidazole (Flagyl) added to his current medication regimen. What health education related to this medication should the nurse provide?

Correct Answer is D

Explanation

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