A nurse is planning care for a client who reports heartburn. Which of the following tests should the nurse anticipate in the client's plan of care?
Upper GI endoscopy
Flexible sigmoidoscopy
Colonoscopy
Lower GI series
The Correct Answer is A
Choice A reason: An upper GI endoscopy is typically performed to evaluate symptoms of persistent heartburn, as it allows direct visualization of the esophagus, stomach, and duodenum, which are commonly affected by conditions that cause heartburn.
Choice B reason: Flexible sigmoidoscopy is used to examine the lower part of the colon, which is not typically
associated with symptoms of heartburn.
Choice C reason: A colonoscopy is used to view the entire colon and is not the first choice for investigating heartburn,
as this symptom is not directly related to the colon.
Choice D reason: A lower GI series, or barium enema, is an X-ray examination of the large intestine, which includes the colon and rectum. It is not typically used to diagnose conditions that cause heartburn.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Memory loss is not typically associated with a lack of dietary fiber. Memory loss can be related to various neurological or psychological conditions.
Choice B reason: Bleeding gums are commonly associated with vitamin C deficiency, not a lack of dietary fiber.
Choice C reason: Brittle hair can be associated with poor nutrition in general, but it is not a specific indicator of inadequate fiber intake.
Choice D reason: Constipation is a well-known symptom of inadequate fiber intake. Fiber helps to bulk up the stool
and promotes regular bowel movements.
Correct Answer is A
Explanation
Choice A reason: An IV infusion of dextrose 10% in water can cause hyperglycemia, which is an elevated blood sugar
level.
Choice B reason: Hypovolemia, or decreased blood volume, is not a typical adverse effect of dextrose infusion.
Choice C reason: Hypercalcemia, or high calcium levels in the blood, is not associated with dextrose infusion.
Choice D reason: While dextrose infusion can affect electrolyte balance, hypokalemia, or low potassium levels, is not
the primary concern with dextrose infusion.
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