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 D
Explanation
A. Ecchymosis of the extremities: Ecchymosis refers to the medical term for a bruise. It's characterized by a discoloration of the skin resulting from bleeding underneath, typically caused by trauma to the blood vessels. This is not directly related to cholelithiasis.
B. Tenderness in the left upper abdomen: Tenderness in the left upper abdomen might be associated with conditions such as pancreatitis or splenic issues, not directly with obstruction and inflammation of the common bile duct due to cholelithiasis.
C. Straw-colored urine: Straw-colored urine is normal and healthy. Dark-colored or cloudy urine might indicate underlying issues, but straw-colored urine is generally a sign of proper hydration.
D. Fatty stools: When the common bile duct is obstructed due to cholelithiasis, proper digestion of fats doesn't occur, leading to the passage of fatty stools. This is due to the inability to properly digest and absorb fats, leading to their presence in the stool.
Correct Answer is ["10"]
Explanation
To calculate the number of milliliters (mL) of the hydroxyzine oral suspension to administer, you can use the following formula:
Dose (mL) = Ordered Dose (mg)/ Stock Concentration (mg/mL)
In this case:
- Ordered Dose = 50 mg
- Stock Concentration = 25 mg/5 mL
First, calculate the mg per mL from the stock concentration:
mg per mL = 25 mg/ 5 mL= 5 mg/mL
Now, use the formula to find the mL to administer:
Dose (mL) = 50 mg/ 5 mg/mL = 10 mL
So, the nurse should administer 10 mL of hydroxyzine oral suspension.
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