A nurse is caring for a client scheduled to undergo an esophagogastroduodenoscopy. What action should the nurse take in preparation for the procedure?

Have the client drink contrast medium.

Shave the client from axillae to groin.

Ensure the signed consent is in the medical record.

Administer a cleansing enema.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Drinking contrast medium is not typically required for an esophagogastroduodenoscopy (EGD). Contrast media are often used in imaging studies such as CT scans or certain types of X- rays, not for EGD45.

Choice B rationale

Shaving the client from axillae to groin is not necessary for an EGD. This might be required for certain types of surgeries, but an EGD is a non-surgical procedure that involves inserting a flexible tube with a light and camera into the esophagus, stomach, and duodenum.

Choice C rationale

Ensuring the signed consent is in the medical record is crucial before any procedure, including an EGD45678. It is a legal and ethical requirement that ensures the client is informed about the procedure, its purpose, its risks and benefits, and any alternatives.

Choice D rationale

Administering a cleansing enema is not typically required for an EGD. While bowel preparation, such as using a laxative or enema, might be necessary before some procedures like a colonoscopy, it is not usually needed for an EGD45.

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Correct Answer is D

Explanation

Choice A rationale

Metoprolol is a beta-blocker that affects the heart and circulation. It does not typically cause elevated blood glucose levels.

Choice B rationale

Metoprolol is used to treat high blood pressure, not increase it. It works by relaxing blood vessels and slowing heart rate to improve blood flow and decrease blood pressure.

Choice C rationale

Metoprolol does not typically reduce bronchospasms. In fact, it can sometimes cause breathing problems such as shortness of breath, cough, and wheezing.

Choice D rationale

Metoprolol is known to lower heart rate. This is one of the ways it helps to reduce blood pressure and relieve strains on the heart.

A. Offer snacks that are high in sodium. B. Monitor the patient’s weight once per week. C. Provide rest periods throughout the day. D. Place the head of the patient’s bed flat.

Correct Answer is C

Explanation

Offering snacks that are high in sodium is not recommended for patients with heart failure. Sodium can cause fluid retention and worsen heart failure symptoms.

Choice B rationale

Monitoring the patient’s weight once per week is not sufficient for patients with heart failure. Daily weight monitoring is typically recommended to detect fluid retention early.

Choice C rationale

Providing rest periods throughout the day is recommended for patients with heart failure. Rest can help reduce the workload of the heart and manage symptoms of fatigue.

Choice D rationale

Placing the head of the patient’s bed flat is not recommended for patients with heart failure. This position can make breathing more difficult. Instead, the head of the bed should be elevated.

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A nurse is caring for a client scheduled to undergo an esophagogastroduodenoscopy. What action should the nurse take in preparation for the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is gathering information from a patient who is on metoprolol. What should the nurse anticipate as a possible outcome?

Correct Answer is D

Explanation

A nurse is assisting with the plan of care for a patient who has heart failure. Which of the following interventions should the nurse recommend?

Correct Answer is C

Explanation

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