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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Granola may contain ingredients like nuts and dried fruits that are high in potassium, which is not
suitable for a low potassium diet.
Choice B reason: Many salt substitutes contain potassium chloride instead of sodium chloride, and using them can increase potassium intake, which is not recommended for a client on a low potassium diet.
Choice C reason: Molasses is high in potassium, so replacing sugar with molasses when baking would not be
appropriate for someone on a low potassium diet.
Choice D reason: Orange juice is high in potassium compared to apple juice, making it an unsuitable choice for
someone on a low potassium diet.
Correct Answer is A
Explanation
Choice A reason: With aging, there is a slight slowing in the movement of contents through the large intestine and a modest decrease in the contractions of the rectum when filled with stool, leading to decreased intestinal peristalsis.
Choice B reason: Aging does not typically result in a decreased pH of the stomach. Instead, conditions that decrease acid secretion, such as atrophic gastritis, become more common with age.
Choice C reason: Increased muscle tone of the bowel is not a change associated with aging. In fact, muscle tone may decrease, contributing to issues such as constipation.
Choice D reason: Increased gastric acid production is not a typical physiological change with aging. The secretion of stomach juices such as acid and pepsin has little effect on aging, although conditions that decrease acid secretion become more common.
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