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: Nausea is not a common symptom directly associated with obstructive sleep apnea (OSA).
Choice B reason: Hypotension is not typically a finding in OSA. In fact, OSA can be associated with hypertension due to the effects of recurrent oxygen desaturations and sympathetic nervous system activation.
Choice C reason: Constipation is not a symptom commonly linked to OSA. OSA primarily affects respiratory function
during sleep.
Choice D reason: Morning headaches are a common symptom in individuals with OSA due to disrupted sleep patterns and decreased oxygen levels during apneic episodes.
Correct Answer is B
Explanation
Choice A reason: Aluminum-containing antacids are more likely to cause constipation rather than diarrhea.
Choice B reason: Magnesium-containing antacids can cause diarrhea because magnesium can act as an osmotic laxative, drawing water into the intestines and increasing peristalsis.
Choice C reason: While antibiotics can disrupt the gut flora and potentially cause diarrhea, they are not the best
answer when compared to magnesium-containing antacids specifically known for this side effect.
Choice D reason: Anticholinergics/antispasmodics typically reduce gastrointestinal motility, which would more likely lead to constipation instead of diarrhea.
Choice E reason: Opioid narcotics are known to cause constipation due to reduced gut motility, not diarrhea
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