A nurse is providing instructions to a patient who is scheduled for a barium swallow to assess dysphagia.
Which of the following patient statements would indicate to the nurse that the instructions have been understood?
I will maintain a clear liquid diet 24 hours before the test.
I will drink plenty of fluids after the test.
I will expect my stool to be black after this procedure.
I will expect a warm feeling when the dye is injected.
The Correct Answer is B
Choice A rationale
While it’s important to prepare for a barium swallow test, maintaining a clear liquid diet 24 hours before the test is not typically required.
Choice B rationale
Drinking plenty of fluids after the test is indeed a correct instruction. The barium used in the test can cause constipation or impacted stool if it does not pass out of the body. Drinking ample fluids helps flush the contrast from the gastrointestinal system.
Choice C rationale
While it’s true that the stool may be discolored after a barium swallow test, it’s more likely to be lighter or white, not black.
Choice D rationale
The barium swallow test does not involve the injection of any dye that would cause a warm feeling. This sensation is more commonly associated with the injection of contrast dye in other types of imaging tests, not a barium swallow.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While administering pain medication may provide temporary relief, it does not address the underlying issue of a perforated ulcer, which is a medical emergency.
Choice B rationale
Preparing the client for surgery is the priority action for a nurse when a perforated ulcer is suspected. A perforated ulcer is a medical emergency that often requires immediate surgery.
Choice C rationale
Initiating IV fluid resuscitation may be part of the management for a suspected perforated ulcer, but it is not the first priority. The first priority is to stabilize the patient and prepare for possible surgery.
Choice D rationale
Obtaining a stat abdominal X-ray may help confirm the diagnosis of a perforated ulcer, but it is not the first priority. The first priority is to stabilize the patient and prepare for possible surgery.
Correct Answer is C
Explanation
Choice A rationale
Assuming a position with legs and rectum lower than the stomach is not typically recommended for managing postoperative abdominal discomfort.
Choice B rationale
Using a straw can actually increase the amount of air swallowed, which can contribute to gas and bloating.
Choice C rationale
Ambulation, or walking, is often recommended after abdominal surgery to help reduce gas buildup and stimulate the digestive system.
Choice D rationale
Drinking cold liquids is not specifically recommended for managing postoperative abdominal discomfort. However, staying hydrated is important
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