A nurse is planning care for a client who reports heartburn. Which of the following tests should the nurse anticipate in the client's plan of care?

Upper GI endoscopy

Flexible sigmoidoscopy

Colonoscopy

Lower GI series

Answer and Explanation

The Correct Answer is A

Choice A reason: An upper GI endoscopy is typically performed to evaluate symptoms of persistent heartburn, as it allows direct visualization of the esophagus, stomach, and duodenum, which are commonly affected by conditions that cause heartburn.

Choice B reason: Flexible sigmoidoscopy is used to examine the lower part of the colon, which is not typically
associated with symptoms of heartburn.

Choice C reason: A colonoscopy is used to view the entire colon and is not the first choice for investigating heartburn,
as this symptom is not directly related to the colon.

Choice D reason: A lower GI series, or barium enema, is an X-ray examination of the large intestine, which includes the colon and rectum. It is not typically used to diagnose conditions that cause heartburn.

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Correct Answer is D

Explanation

Choice A reason: Choosing sugar-sweetened beverages is not recommended for clients with kidney stones as they
can lead to weight gain and increase the risk of stone formation.

Choice B reason: Limiting calcium intake is not generally advised for kidney stone prevention; in fact, adequate
calcium intake is important to bind oxalate in the gut.

Choice C reason: Drinking only 1 liter of fluid each day is insufficient; it is recommended to drink enough water to produce at least 2.5 liters of urine daily to prevent kidney stones.

Choice D reason: Filtering urine each day can help to catch stones that are passed, which can then be analyzed to determine their composition and guide further treatment.

A. Decreased bowel sounds B. Rigid abdomen C. Hypothermia D. Dehydration

Correct Answer is D

Explanation

Choice A reason: Decreased bowel sounds are not typically associated with diarrhea. Diarrhea usually presents with
increased bowel sounds due to hyperactive gastrointestinal motility.

Choice B reason: A rigid abdomen may suggest an acute abdomen that requires immediate medical attention, not a common finding in uncomplicated cases of diarrhea.

Choice C reason: Hypothermia is not a common finding in diarrhea. Fever may occur if the diarrhea is infectious in
origin.

Choice D reason: Dehydration is a common finding in patients with prolonged diarrhea due to excessive loss of fluids
and electrolytes.

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A nurse is planning care for a client who reports heartburn. Which of the following tests should the nurse anticipate in the client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has kidney stones. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

A nurse is collecting data on a client who has had diarrhea for several days. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

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