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.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
Pursed-lip breathing can help improve oxygenation and reduce shortness of breath in clients with COPD. However, it is not the priority action when a client reports difficulty breathing.
Choice B rationale
Increasing the oxygen flow rate without a physician’s order can lead to oxygen toxicity or suppress the respiratory drive in clients with COPD. Therefore, this is not the priority action.
Choice C rationale
Coughing and expectorating secretions can help clear the airways, but it is not the priority action when a client reports difficulty breathing.
Choice D rationale
Evaluating the client’s respiratory status is the priority action. The nurse should assess the client’s breath sounds, respiratory rate, use of accessory muscles, and oxygen saturation to determine the severity of the client’s difficulty breathing and guide further interventions.
Correct Answer is D
Explanation
Choice A rationale
CEA is not a chemotherapy drug. Chemotherapy drugs are medications used to treat cancer, while CEA is a protein that can be measured in the blood.
Choice B rationale
CEA is not a surgical procedure. It’s a type of protein in the body that can be measured through a blood test.
Choice C rationale
CEA is not a tumor suppressor gene. Tumor suppressor genes are genes that regulate cell division and prevent the formation of tumors, while CEA is a protein that can be present in higher amounts in people with certain types of cancer.
Choice D rationale
CEA is a blood test used to detect and monitor certain types of cancer. It’s often used in people who’ve been previously diagnosed with certain types of cancer, most commonly colorectal cancer.
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