A nurse is reinforcing teaching a client who is scheduled for a barium swallow to evaluate dysphagia. Which of the following statements Indicate to the nurse that the client understands the instructions?
"I will expect a warm feeling when the dye is injected."
"I will drink plenty of fluids after the test."
"I will maintain a clear liquid diet 24 hours before the test."
"I will expect my stool to be black after this procedure."
Correct Answer : B
A. "I will expect a warm feeling when the dye is injected."
This statement is incorrect. Barium swallow involves swallowing a contrast medium, not an injection. The warm feeling might be associated with injected substances but not with a barium swallow.
B. "I will drink plenty of fluids after the test."
This statement is correct. After a barium swallow, it's important to drink plenty of fluids to help clear the barium from the body and prevent constipation.
C. "I will maintain a clear liquid diet 24 hours before the test."
This statement is incorrect. A clear liquid diet might be recommended before certain medical procedures, but for a barium swallow, often patients are asked to avoid eating or drinking for a 8 hours before the test.
D. "I will expect my stool to be black after this procedure."
Barium can cause stools to appear white or light-colored for several days after the procedure. Black stools could indicate the presence of gastrointestinal bleeding or other issues unrelated to the barium swallow.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A,B,C,D
Explanation
A. Confirm the client's identity by checking her wristband.
B. Provide for the client's privacy by closing the curtains.
C. Assist the client into the Sims' position.
D. Insert the tip of the enema tubing into the client's rectum.
Correct Answer is B
Explanation
A. Slight bleeding of the stoma site: This is typically normal in the immediate postoperative period. It's caused by surgical trauma and should improve with time. However, if it becomes excessive, it should be reported.
B. Purplish colored stoma: A purplish or bluish color of the stoma can be an indication of inadequate blood supply (ischemia). This is a concerning finding and should be reported promptly to the provider.
C. No stool noted in the collection bag: It's normal not to have stool in the collection bag immediately after surgery since the digestive system needs time to resume normal function. This is usually not a concern within the first 12 hours postoperatively. However, if it continues beyond this time frame, it should be reported.
D. Edematous stoma: Some edema or swelling around the stoma site can be normal initially after surgery. However, if the stoma becomes significantly edematous or starts to compromise blood flow, this should be reported to the provider.
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