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 B
Explanation
Choice A reason: While it is important to save the specimen in a clean container, this is not a preparatory action for
obtaining the specimen.
Choice B reason: Rinsing the client's mouth before collecting the specimen is the correct answer because it helps to remove food particles and bacteria that could contaminate the sample.
Choice C reason: Collecting a sputum specimen after a meal is not recommended as it may be contaminated by food particles.
Choice D reason: The time of day is less important than the preparation of the client; however, early morning is usually preferred for collecting a sputum specimen as it tends to be more concentrated after a night's rest.
Correct Answer is C
Explanation
Choice A reason: Wearing sterile gloves is not necessary when draining an ileostomy bag as this is not a sterile procedure. Clean gloves are typically used.
Choice B reason: Washing the skin surrounding the ileostomy with hot water is not recommended as it can cause
irritation. Lukewarm water should be used, and the area should be patted dry.
Choice C reason: Cleaning the end of the ileostomy pouch before clamping is important to maintain hygiene and
prevent contamination when draining the bag.
Choice D reason: The ileostomy bag should be emptied when it is one-third to one-half full to prevent leakage and ensure comfort for the client.
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