A patient has received a barium swallow test to rule out esophageal strictures and gastric ulcer. The nurse is educating the patient on what is expected post barium swallow. What statement indicates that the patient did not understand all of the teaching by the nurse?

I need to increase my fluid intake.

My stools will be normal in color.

I know the barium swallow test examined my esophagus, stomach, duodenum, and jejunum.

I may need to take laxatives to prevent constipation from the barium.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Increasing fluid intake after a barium swallow test is recommended. This helps to flush the barium out of the system and can help to prevent constipation.
Choice B rationale
Stools will not be normal in color after a barium swallow test. It is normal for bowel movements to appear lighter in color, or even white, after a barium study.
Choice C rationale
The barium swallow test does examine the esophagus, stomach, duodenum, and jejunum. The barium coats the lining of these organs, making them easier to see on an X-ray.
Choice D rationale
Patients may need to take laxatives to prevent constipation from the barium. Barium can slow down the digestive system, so taking a laxative can help to keep things moving.

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Correct Answer is C

Explanation

Choice A rationale
Aspartate aminotransferase (AST) is an enzyme that is found in various tissues, including the liver. Elevated levels of AST can indicate liver damage or disease.
Choice B rationale
Albumin is a protein that is made by the liver. It helps keep fluid in the bloodstream so it doesn’t leak into other tissues. Low levels of albumin can indicate liver disease.
Choice C rationale
Lipase is an enzyme that is produced by the pancreas and used in the digestion of fats. It is not a marker of liver function.
Choice D rationale

Alanine transaminase (ALT) is an enzyme found mostly in the cells of the liver and kidney. Much like AST, high levels of ALT can indicate liver damage or disease.

Correct Answer is ["22.5"]

Explanation

The order is for potassium chloride 30 mEq. The available medication is potassium chloride 20 mEq/15mL. To calculate the amount to administer: Step 1 is: Set up a proportion to solve for the unknown quantity (X), which is the volume in mL to administer. The proportion is (20 mEq
/ 15 mL) = (30 mEq / X mL).
Step 2 is: Cross-multiply to solve for X. X = (30 mEq * 15 mL) ÷ 20 mEq.
Step 3 is: Calculate X. X = 22.5 mL. So, the nurse should administer 22.5 mL of potassium chloride.

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A patient has received a barium swallow test to rule out esophageal strictures and gastric ulcer. The nurse is educating the patient on what is expected post barium swallow. What statement indicates that the patient did not understand all of the teaching by the nurse?

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Naxlex Comprehensive Predictor Exams

The Health Care Provider orders a blood test for your patient. The nurse knows that which of the following enzymes does not indicate liver function?

Correct Answer is C

Explanation

A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15mL. How many mL should the nurse administer?

Correct Answer is ["22.5"]

Explanation

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?

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