A nurse is reinforcing teaching with a client following an upper gastrointestinal series using barium contrast. Which of the following instructions should the nurse include?
Expect black tarry stools.
Follow a low-fiber diet for several days.
Take an over-the-counter antidiarrheal medication.
Increase fluid intake.
The Correct Answer is D
Choice A Reason:
Expecting black tarry stools is not a typical instruction after an upper gastrointestinal series with barium contrast. Black tarry stools can indicate gastrointestinal bleeding, which is unrelated to the ingestion of barium contrast.
Choice B Reason:
Following a low-fiber diet for several days is not necessary after an upper gastrointestinal series with barium contrast. In fact, a normal or high-fiber diet may be encouraged to help pass the barium through the digestive system.
Choice C Reason:
Taking an over-the-counter antidiarrheal medication is not a standard instruction post-barium contrast procedure. Barium contrast can cause constipation, so taking antidiarrheal medication would be counterproductive.
Choice D Reason:
Increasing fluid intake is an important instruction for a patient after an upper gastrointestinal series with barium contrast. Drinking extra liquids helps to move the barium out of the intestines and prevent constipation, which can be a side effect of barium contrast.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
A healthy stoma should appear pinkish-red, indicating good blood supply and normal function. This coloration is similar to the inside of the mouth, which is also a mucous membrane. A pinkish-red stoma typically means that the colostomy is functioning properly and that the tissue is healthy.
Choice B Reason:
Absent bowel sounds can be a normal finding immediately postoperative as it may take some time for bowel function to return. However, absent bowel sounds alone do not indicate that the colostomy is functioning properly. Bowel sounds should be assessed in conjunction with other signs, such as the appearance of the stoma and the passage of stool or gas.
Choice C Reason:
While tolerating a clear liquid diet is a positive sign of recovery post-surgery, it does not directly indicate whether the colostomy is functioning properly. The ability to tolerate a clear liquid diet is more related to the overall condition of the gastrointestinal tract and the patient's ability to absorb and digest fluids.
Choice D Reason:
Passing of flatus (gas) through the stoma can be a sign that the colostomy is starting to function, as it indicates movement within the intestines. However, the passage of gas alone is not sufficient to determine if the colostomy is functioning properly. It must be accompanied by the passage of stool and a healthy-looking stoma.
Correct Answer is B
Explanation
Choice A reason:
While memory lapses, such as being unable to remember their adult children's names, can be concerning, they are not the immediate priority following a head injury. Memory issues may result from various factors, including the emotional shock of the fall or pre-existing cognitive conditions.
Choice B reason:
The inability to remain fully awake, or altered levels of consciousness, is a critical sign that may indicate a serious brain injury, such as a concussion or hemorrhage. This finding requires urgent attention to prevent further complications, making it the nurse's priority.
Choice C reason:
Difficulty in repeating the names of three common objects could suggest cognitive impairment or confusion, which are concerning but secondary to consciousness and alertness issues. Cognitive assessments are part of a broader neurological evaluation following a head injury.
Choice D reason:
Incorrectly answering a judgment question is part of a cognitive assessment and, while important, does not take precedence over signs that may indicate a life-threatening condition, such as changes in consciousness.
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