Which nursing instruction is correct to provide the client following a barium enema?
The client will maintain a low-residue diet.
Sips of fluid may be increased if tolerated.
An enema will be used to clear the bowel.
The stools may be white or clay-colored.
The Correct Answer is B
Sips of fluid may be increased if tolerated. After a barium enema, the client may be allowed to increase fluid intake to help eliminate the barium and prevent constipation.
Option A: The client will maintain a low-residue diet is not a correct answer as it is not necessary after a barium enema.
Option C: An enema will be used to clear the bowel is not a correct answer as the barium enema is itself a type of enema used to visualize the colon.
Option D: The stools may be white or clay-colored is not a correct answer as it is a potential side effect of barium use, not an instruction to the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The tumor is confined to the prostate gland. Stage I prostate cancer means that the tumor is localized to the prostate gland and has not spread to other parts of the body.
B: This option is incorrect because it indicates that the tumor has expanded to the bladder, which is not indicative of stage I prostate cancer.
C: This option is partially correct, but it does not provide a complete picture of stage I prostate cancer.
D: This option is incorrect because it indicates that the tumor has spread beyond the prostate, which is not indicative of stage I prostate cancer.
Correct Answer is A
Explanation
Level of consciousness is improving. The effectiveness of mannitol treatment for a client with increased intracranial pressure can be assessed through the improvement of the level of consciousness. Mannitol is an osmotic diuretic that reduces cerebral edema and intracranial pressure. It works by increasing the osmotic pressure in the bloodstream, which draws fluid out of the brain and into the bloodstream. The reduction of intracranial pressure helps improve cerebral perfusion and blood flow. Therefore, improving the client's level of consciousness is the most important assessment finding to determine the effectiveness of mannitol treatment.
B is not the correct answer because a rise in blood pressure is not an indicator of the effectiveness of mannitol treatment.
C is not the correct answer because increased urine output is a side effect of mannitol treatment and does not necessarily indicate effectiveness.
D is not the correct answer because hyperpyrexia is not a symptom that is treated with mannitol.
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