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 C

Explanation

Choice A reason: Aspirating fluid from the IV cannula is not recommended as it does not address the issue of infiltration or extravasation.

Choice B reason: Placing the affected extremity below the level of the client's heart could worsen the swelling and is
not recommended.

Choice C reason: Slowing the IV infusion is a correct immediate action to minimize further infiltration and should be done while further assessment and interventions are planned.

Choice D reason: Placing a pressure dressing over the IV site is not recommended as it may exacerbate the infiltration
and increase discomfort.

A. Loop the tubing of the chest tube on the client's bed. B. Tape the connections on the client's chest tube. C. Place the chest tube drainage system above the level D. Strip the client's chest tube every 2 hours.

Correct Answer is B

Explanation

Choice A reason: Looping the tubing on the client's bed can cause kinks and obstruct the drainage, which is not
recommended.

Choice B reason: Taping the connections on the chest tube is essential to maintain an airtight system and prevent air leaks, which is crucial for proper chest tube function.

Choice C reason: The chest tube drainage system should be placed below the level of the client's heart to facilitate gravity drainage, not above.

Choice D reason: Stripping the chest tube, which involves squeezing and pulling the tubing to clear clots, is not routinely recommended as it can generate negative pressure and damage tissue.

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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 caring for a client who is receiving a continuous infusion through a peripheral IV device. The nurse notes the catheter site is cool, swollen, blanched, and painful to touch. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is assisting with the care of a client who has a chest tube. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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