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 A
Explanation
Choice A reason: Ground beef is often included in a soft diet as it can be cooked to a tender consistency that is easy
to chew and swallow.
Choice B reason: Raw vegetables are generally not included in a soft diet because they can be difficult to chew and may pose a risk for individuals with certain digestive or dental issues.
Choice C reason: Fruit with the skin is typically not recommended for a soft diet as the skin can be tough and fibrous,
making it harder to chew and digest.
Choice D reason: High-fiber cereals are usually avoided in a soft diet because they may contain whole grains or nuts
that are hard and could be challenging to chew.
Correct Answer is A
Explanation
Choice A reason: With aging, there is a slight slowing in the movement of contents through the large intestine and a modest decrease in the contractions of the rectum when filled with stool, leading to decreased intestinal peristalsis.
Choice B reason: Aging does not typically result in a decreased pH of the stomach. Instead, conditions that decrease acid secretion, such as atrophic gastritis, become more common with age.
Choice C reason: Increased muscle tone of the bowel is not a change associated with aging. In fact, muscle tone may decrease, contributing to issues such as constipation.
Choice D reason: Increased gastric acid production is not a typical physiological change with aging. The secretion of stomach juices such as acid and pepsin has little effect on aging, although conditions that decrease acid secretion become more common.
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