A nurse is teaching a client about preparation for a barium enema.
What client statement indicates the client requires further reinforcement of teaching?

I will eat my breakfast prior to coming in for the study.

I may need to have laxatives to expel the barium.

I will receive the barium prior to the study by rectum.

I will need to lie down during the study while retaining the barium for x-rays.

Answer and Explanation

The Correct Answer is A

The client should not eat anything before the barium enema, as this could interfere with the visualization of the colon. The client should also take a laxative and an enema the night before the test to clear the bowel of any fecal matter.

Choice B is wrong because the client may need to have laxatives to expel the barium after the test, not before. Barium can cause constipation and impaction if not eliminated promptly.

Choice C is wrong because the client will receive the barium prior to the study by rectum, which is correct. The barium is a contrast agent that helps outline the colon on X-rays.

Choice D is wrong because the client will need to lie down during the study while retaining the barium for X-rays, which is correct. The client may also be asked to change positions to allow different views of the colon.

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Correct Answer is C

Explanation

Chicken breast, green beans, and a glass of milk. This is because chicken breast is a good source of protein, which is essential for wound healing. Green beans are rich in vitamin C, which helps with collagen synthesis and immune function. Milk is a good source of calcium and vitamin D, which are important for bone health and healing.

Choice A is wrong because cheese pizza and french fries are high in fat and sodium, which can increase inflammation and delay wound healing. Orange juice is high in sugar, which can also impair wound healing and increase the risk of infection.

Choice B is wrong because cheeseburger and potato chips are also high in fat and sodium, and have similar effects as choice A. Soda is also high in sugar and can cause dehydration, which can slow down wound healing.

Choice D is wrong because spaghetti and meatballs are high in refined carbohydrates, which can spike blood sugar levels and impair wound healing.

A roll is also a refined carbohydrate and does not provide much fiber or nutrients. Chocolate pudding is high in sugar and fat, and can also worsen wound healing.

A. Client’s wound dressing is dry. B. Client is awake and oriented. C. Client is breathing. D. Client’s foley catheter is draining.

Correct Answer is C

Explanation

The first observation the nurse should perform for a client who is receiving from the post anesthesia unit after a colon resection is to assess the patency of the airway and respiratory function.

This is because the airway is the most vital for the survival of the client and any compromise can lead to hypoxia and death.

The nurse should then take vital signs, check the wound dressing, and assess the foley catheter drainage.

Choice A is wrong because the client’s wound dressing is not as important as the airway and can be checked later.

Choice B is wrong because the client’s level of consciousness may be affected by the anesthesia and is not a priority over the airway.

Choice D is wrong because the client’s foley catheter drainage is not a critical observation and can be monitored later.

Normal ranges for respiratory rate are 12 to 20 breaths per minute for adults, oxygen saturation is 95% to 100%, and blood pressure is 120/80 mmHg for healthy individuals.

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A nurse is teaching a client about preparation for a barium enema. What client statement indicates the client requires further reinforcement of teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is learning about diet choices that will increase wound healing after a total knee replacement. What diet selection would indicate that the client understands the correct foods to choose for that outcome to happen?

Correct Answer is C

Explanation

A nurse is receiving a client from the post anesthesia unit after a colon resection. What is the first observation the nurse should perform?

Correct Answer is C

Explanation

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A nurse is teaching a client about preparation for a barium enema.
What client statement indicates the client requires further reinforcement of teaching?