When teaching patients about diagnostic procedures, the nurse should instruct them to fast and restrict fluids prior to which of these tests? (Select all that apply)
Magnetic resonance imaging (MRI)
Endoscopic retrograde cholangiopancreatography (ERCP)
Esophagogastroduodenoscopy (EGD)
Barium swallow .
Correct Answer : B,C,D
Choice A rationale
While some MRI scans may require fasting, it is not universally required for all MRI scans. The need for fasting depends on the specific type of scan and the contrast material used.
Choice B rationale
Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure that combines upper gastrointestinal (GI) endoscopy and x-rays to treat problems of the bile and pancreatic ducts. It often requires fasting before the procedure.
Choice C rationale
Esophagogastroduodenoscopy (EGD) is a procedure that examines the lining of the esophagus, stomach, and upper duodenum with a small camera (endoscope) which is inserted down the throat. It requires fasting before the procedure.
Choice D rationale
A barium swallow is a type of test used to look at the esophagus, the tube that connects the mouth to the stomach. It requires fasting before the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While a bulge at the hernia site is a common symptom of an umbilical hernia, it is not typically a cause for immediate concern or a reason to alert the healthcare provider.
Choice B rationale
Mild discomfort may be associated with an umbilical hernia, but it is not typically a cause for immediate concern or a reason to alert the healthcare provider.
Choice C rationale
A bulge that disappears when lying down is a common characteristic of an umbilical hernia and is not typically a cause for immediate concern or a reason to alert the healthcare provider.
Choice D rationale
Nausea and vomiting could indicate that the hernia has become strangulated, which is a medical emergency. Strangulation occurs when the blood supply to the herniated tissue is cut off. This is a serious complication that requires immediate medical attention.
Question 50.
Correct Answer is B
Explanation
Choice A rationale
Pain located in the right lower quadrant is typically associated with conditions such as appendicitis, not diverticulitis.
Choice B rationale
Diverticulitis is often associated with cramping, constant pain in the left lower quadrant. This is because the most common site of diverticula, small bulging pouches that can form in the lining of the digestive system, is in the sigmoid and descending colon, which are located in the left lower quadrant of the abdomen.
Choice C rationale
Sudden onset of pain 2 hours ago is not typically indicative of diverticulitis. While diverticulitis pain can be sudden, it usually worsens over several days.
Choice D rationale
Diarrhea for the past 3 days is not specifically indicative of diverticulitis. While changes in bowel habits can occur with diverticulitis, it is not a defining symptom.
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