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.
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Childhood obesity can indeed lead to diabetes mellitus. Obesity in children increases the risk of developing type 2 diabetes, a chronic condition that affects the way the body processes blood sugar (glucose)34.
Choice B rationale
While attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children, there’s no direct evidence to suggest that childhood obesity is a potential complication or cause of ADHD3.
Choice C rationale
Rheumatoid arthritis is an autoimmune and inflammatory disease, which means that the immune system attacks healthy cells in the body by mistake, causing inflammation (painful swelling) in the affected parts of the body. There is no direct link between childhood obesity and the development of rheumatoid arthritis.
Choice D rationale
Hypotension, or low blood pressure, is not typically associated with childhood obesity. On the contrary, obesity in children can increase the risk of high blood pressure.
Correct Answer is A
Explanation
Choice A rationale
Coffee ground vomitus is a symptom that indicates upper gastrointestinal bleeding. One of the conditions that can cause this symptom is a hiatal hernia. A hiatal hernia occurs when part of your stomach pushes upward through your diaphragm, and it can cause acid reflux, which can lead to esophagitis and bleeding. When the blood mixes with stomach acid, it can look like coffee grounds when vomited.
Choice B rationale
Gallbladder disease typically presents with symptoms such as abdominal pain (especially after eating), nausea, vomiting, bloating, and fever. While it can cause discomfort and complications like gallstones and inflammation, it does not typically cause coffee ground vomitus.
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