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A nurse is preparing a client with Crohn’s disease for a barium enema. What should the nurse do the day before the test?

Encourage dietary intake

Encourage plenty of fat

Serve dairy products

Order a high-fiber diet

Answer and Explanation

The Correct Answer is D

Order a high-fiber diet

Choice A Reason:

Encourage dietary intake

Encouraging dietary intake is generally important for maintaining nutritional status, but it is not specific to the preparation for a barium enema. The preparation for a barium enema typically involves dietary restrictions to ensure the colon is clear for the procedure. Therefore, this choice is not correct.

Choice B Reason:

Encourage plenty of fat

Encouraging plenty of fat is not appropriate for the preparation of a barium enema. High-fat foods can slow down the digestive process and may interfere with the clarity of the images obtained during the procedure. Therefore, this choice is not correct.

Choice C Reason:

Serve dairy products

Serving dairy products is not recommended before a barium enema. Dairy products can cause gas and bloating, which can interfere with the procedure. Additionally, some patients may be lactose intolerant, which can further complicate the preparation. Therefore, this choice is not correct.

Choice D Reason:

Order a high-fiber diet

Ordering a high-fiber diet is the correct choice. A high-fiber diet helps to clear the intestines by promoting bowel movements. This is important for ensuring that the colon is empty and clear for the barium enema, which allows for better imaging and more accurate results.

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Free Nursing Study Resources

Correct Answer is ["A","C","D","E","G"]

Explanation

Choice A Reason: Adherence to proper hand hygiene

Proper hand hygiene is a fundamental practice in preventing infections, including ventilator-associated pneumonia (VAP). Hand hygiene involves washing hands with soap and water or using an alcohol-based hand sanitizer before and after patient contact, after touching potentially contaminated surfaces, and before performing any aseptic procedures. This practice helps to reduce the transmission of pathogens that can cause infections in mechanically ventilated patients. Studies have shown that adherence to hand hygiene protocols significantly decreases the incidence of VAP and other healthcare-associated infections.

Choice B Reason: Suction the client at least every 2 hours

While suctioning is an important aspect of care for mechanically ventilated patients, routine suctioning every 2 hours is not recommended. Instead, suctioning should be performed based on the patient’s clinical condition and as needed. Over-suctioning can cause trauma to the airway and increase the risk of infection. Therefore, this choice is not included in the best practices for preventing VAP.

Choice C Reason: Administering antiulcer medication

Administering antiulcer medication is a recommended practice to prevent stress ulcers and gastrointestinal bleeding in mechanically ventilated patients. Stress ulcers can lead to complications such as aspiration of gastric contents, which can contribute to the development of VAP. Antiulcer medications, such as proton pump inhibitors or H2 receptor antagonists, help to reduce gastric acidity and the risk of ulcer formation. This practice is part of the comprehensive care plan to prevent VAP.

Choice D Reason: Providing oral care per protocol

Providing oral care per protocol is a critical component of VAP prevention. Oral care involves cleaning the patient’s mouth, teeth, and gums to reduce the colonization of harmful bacteria that can be aspirated into the lungs. Protocols for oral care typically include the use of antiseptic solutions, such as chlorhexidine, to disinfect the oral cavity. Regular oral care has been shown to significantly reduce the incidence of VAP in mechanically ventilated patients.

Choice E Reason: Elevating the head of the bed

Elevating the head of the bed to an angle of 30 to 45 degrees is a recommended practice to prevent VAP. This position helps to reduce the risk of aspiration of gastric contents into the lungs, which is a major risk factor for VAP. Elevating the head of the bed also promotes better lung expansion and ventilation, which can improve the patient’s respiratory status. This practice is widely recognized as an effective measure to prevent VAP.

Choice F Reason: Suctioning the client on a regular schedule

Similar to Choice B, routine suctioning on a regular schedule is not recommended. Suctioning should be performed based on the patient’s clinical needs and not on a fixed schedule. Over-suctioning can cause harm and increase the risk of infection. Therefore, this choice is not included in the best practices for preventing VAP.

Choice G Reason: Turning and positioning the client at least every 2 hours

Turning and positioning the client at least every 2 hours is an important practice to prevent complications such as pressure ulcers and to promote lung expansion. Regular repositioning helps to improve ventilation and drainage of secretions, reducing the risk of VAP. This practice is part of the standard care for mechanically ventilated patients to prevent various complications, including VAP.

A. Provide a quiet, low-stimulus environment B. Keep the client NPO C. Administer aspirin as prescribed for any sign of hyperthermia D. Observe the client carefully for signs of hypocalcemia

Correct Answer is A

Explanation

Provide a quiet, low-stimulus environment

Choice A Reason:

Provide a quiet, low-stimulus environment

This is the correct answer. A quiet, low-stimulus environment helps to reduce the metabolic demands on the body and prevent overstimulation, which can trigger a thyroid crisis. Hyperthyroidism increases the body’s metabolic rate, and excessive stimulation can exacerbate symptoms and lead to a crisis. Therefore, creating a calm environment is crucial in managing hyperthyroidism and preventing complications.

Choice B Reason:

Keep the client NPO

Keeping the client NPO (nothing by mouth) is not typically necessary for preventing a thyroid crisis. While it may be required for certain procedures or if the client is experiencing severe symptoms, it is not a standard intervention for hyperthyroidism management. Therefore, this choice is not correct.

Choice C Reason:

Administer aspirin as prescribed for any sign of hyperthermia

Administering aspirin for hyperthermia is not recommended in clients with hyperthyroidism. Aspirin can increase free thyroid hormone levels by displacing thyroid hormones from their binding proteins, potentially worsening hyperthyroidism. Instead, other antipyretics like acetaminophen are preferred. Therefore, this choice is not correct.

Choice D Reason:

Observe the client carefully for signs of hypocalcemia

Observing for signs of hypocalcemia is not directly related to preventing a thyroid crisis. Hypocalcemia is more commonly associated with thyroidectomy or parathyroidectomy rather than hyperthyroidism itself. Therefore, this choice is not correct.

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A nurse is preparing a client with Crohn’s disease for a barium enema. What should the nurse do the day before the test?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse caring for mechanically ventilated clients uses best practices to prevent ventilator-associated pneumonia. What actions are included in this practice? (Select all that apply)

Correct Answer is ["A","C","D","E","G"]

Explanation

Correct Answer is A

Explanation

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