A patient who is scheduled for a barium swallow asks a nurse why a laxative is necessary after the procedure. Which of the following responses should the nurse make?

It helps eliminate the barium.

The medication has been prescribed by your provider.

The medication will turn your stool white.

It is the protocol at this facility.

Answer and Explanation

The Correct Answer is A

Choice A rationale
A laxative is necessary after a barium swallow procedure because barium can cause constipation or impacted stool if it isn’t completely cleared from the body. The laxative helps to ensure that all of the barium leaves the body.
Choice B rationale
While it’s true that the medication has been prescribed by the provider, this doesn’t explain why it’s necessary after a barium swallow procedure.
Choice C rationale
The medication will not turn the stool white. However, the barium used in the procedure can cause the stool to be lighter in color until it’s completely passed from the body.
Choice D rationale
The use of a laxative after a barium swallow is not just a protocol at the facility, but a medical necessity to prevent constipation or impacted stool caused by the barium

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Correct Answer is B

Explanation

Choice A rationale
Elevating the patient’s legs on two pillows is not typically a necessary action after a liver biopsy. This position does not directly aid in the recovery or prevention of complications related to a liver biopsy.
Choice B rationale
Positioning the patient on the right side after a liver biopsy is a common nursing intervention. This position applies pressure to the liver biopsy site, which can help minimize bleeding and facilitate clot formation at the biopsy site.
Choice C rationale
Keeping the patient in a high Fowler’s position is not typically recommended after a liver biopsy. This position does not provide direct benefits in terms of recovery or prevention of complications from a liver biopsy.
Choice D rationale

Ambulating the patient twice each shift is not typically recommended immediately after a liver biopsy. Rest is usually advised to allow the liver tissue to heal and to minimize the risk of bleeding.

A. I should elevate the head of my bed. B. I will have a snack 1 hour before going to bed. C. I can have 6 ounces of alcohol before bed to help me sleep. D. I will sleep on my stomach with my head flat.

Correct Answer is A

Explanation

Choice A rationale
Elevating the head of the bed is a recommended strategy to minimize the effects of reflux during sleep. This position uses gravity to keep stomach acid from flowing back into the esophagus.
Choice B rationale
Eating a snack 1 hour before going to bed can actually worsen reflux symptoms. It’s generally recommended to avoid eating 2-3 hours before bedtime.
Choice C rationale
Alcohol can relax the lower esophageal sphincter, making it easier for stomach acid to reflux into the esophagus. Therefore, consuming alcohol before bed is not advisable.
Choice D rationale
Sleeping on the stomach with the head flat can exacerbate reflux symptoms. This position does not utilize gravity to keep stomach acid from flowing back into the esophagus.

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A patient who is scheduled for a barium swallow asks a nurse why a laxative is necessary after the procedure. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing action is most appropriate after a liver biopsy is performed on a patient with cirrhosis?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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