After a diagnostic work-up, a 56-year-old male client was diagnosed with a duodenal ulcer caused by Helicobacter pylori infection.
After treatment, the client is to have an esophagogastroduodenoscopy (EGD). Which teaching should the nurse reinforce?

“Before the procedure, you’ll need to remove any dentures.”.

“After the procedure, you may have a sore throat for which you can use warm gargles or ice.”.

“This test will allow the doctor to see directly into your esophagus, stomach, and part of your small intestine.”.

“After the procedure, you can have something to drink after your gag reflex returns.”.

Answer and Explanation

The Correct Answer is D

Choice A rationale
While it’s true that dentures and other oral appliances should be removed before an EGD to prevent damage or loss during the procedure, this information is not the most crucial for the patient to understand.
Choice B rationale
Although a sore throat can occur after an EGD due to the passage of the endoscope, it’s not the most important information. The patient should be aware that the sore throat is temporary and can be relieved with warm gargles or ice.
Choice C rationale

This choice is accurate. An EGD allows the doctor to directly visualize the esophagus, stomach, and part of the small intestine. However, this information, while important, is not the most critical aspect for the patient to understand about the post-procedure period.
Choice D rationale
This is the correct answer. After an EGD, it’s crucial for the patient to understand that they should not eat or drink until their gag reflex has returned. This is to prevent aspiration, which can occur if the patient tries to swallow food or liquid before the gag reflex is functioning properly.

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Correct Answer is C

Explanation

Choice A rationale
Assuring the patient that the problem is temporary may not be accurate. Postoperative dysphagia could indicate a complication from the surgery, such as the stomach fundus being wrapped too tight around the esophagus, causing food obstruction. It’s important to not dismiss the patient’s concerns without proper assessment.
Choice B rationale
Cutting the food into small pieces might help the patient swallow easier, but it does not address the underlying issue. The patient’s difficulty in swallowing could be a sign of a serious problem that needs medical attention.
Choice C rationale
Reporting the observation to the healthcare provider (HCP) is the correct action. After the repair of a paraesophageal hernia, dysphagia should be reported to the HCP. The corrective fundoplication surgery may have the stomach fundus wrapped too tight around the esophagus, causing food obstruction.
Choice D rationale

Offering the patient liquids instead might alleviate the symptom temporarily, but it does not solve the potential problem. The healthcare provider needs to be informed about the dysphagia to assess and treat the possible complication.

A. High fiber B. Low fat C. Low fiber D. High carbohydrate

Correct Answer is C

Explanation

Choice A rationale
A high fiber diet is not typically recommended for a client diagnosed with acute gastroenteritis. High fiber foods can potentially exacerbate diarrhea and other symptoms.
Choice B rationale
While a low fat diet can be beneficial in many health conditions, it is not specifically recommended for a client diagnosed with acute gastroenteritis.
Choice C rationale
A low fiber diet is typically recommended for a client diagnosed with acute gastroenteritis. Low fiber foods are easier to digest and can help alleviate symptoms such as diarrhea.
Choice D rationale
A high carbohydrate diet is not typically recommended for a client diagnosed with acute gastroenteritis. High carbohydrate foods can potentially exacerbate diarrhea and other symptoms.

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After a diagnostic work-up, a 56-year-old male client was diagnosed with a duodenal ulcer caused by Helicobacter pylori infection. After treatment, the client is to have an esophagogastroduodenoscopy (EGD). Which teaching should the nurse reinforce?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing care for a patient who had surgical repair of a paraesophageal (rolling) hernia. The nurse observes that the patient is having difficulty swallowing during the first postoperative meal.What action should the nurse take?

Correct Answer is C

Explanation

A client has been diagnosed with acute gastroenteritis. What diet would the nurse expect to be prescribed for the client?

Correct Answer is C

Explanation

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After a diagnostic work-up, a 56-year-old male client was diagnosed with a duodenal ulcer caused by Helicobacter pylori infection.
After treatment, the client is to have an esophagogastroduodenoscopy (EGD). Which teaching should the nurse reinforce?