A nurse is providing instructions to a patient who is scheduled for a barium swallow to assess dysphagia.
Which of the following patient statements would indicate to the nurse that the instructions have been understood?

I will maintain a clear liquid diet 24 hours before the test.

I will drink plenty of fluids after the test.

I will expect my stool to be black after this procedure.

I will expect a warm feeling when the dye is injected.

Answer and Explanation

The Correct Answer is B

Choice A rationale
While it’s important to prepare for a barium swallow test, maintaining a clear liquid diet 24 hours before the test is not typically required.
Choice B rationale
Drinking plenty of fluids after the test is indeed a correct instruction. The barium used in the test can cause constipation or impacted stool if it does not pass out of the body. Drinking ample fluids helps flush the contrast from the gastrointestinal system.
Choice C rationale
While it’s true that the stool may be discolored after a barium swallow test, it’s more likely to be lighter or white, not black.
Choice D rationale

The barium swallow test does not involve the injection of any dye that would cause a warm feeling. This sensation is more commonly associated with the injection of contrast dye in other types of imaging tests, not a barium swallow.

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Correct Answer is B

Explanation

Choice A rationale
Surgery to increase mucus will not heal the ulcerations. Peptic ulcers are caused by an imbalance between the digestive fluids hydrochloric acid and pepsin, and the body’s ability to protect itself from these substances. The stomach and the duodenum have some protection from these acids, but if this protection is decreased, or the production of acids and pepsin is increased, an ulcer can form.
Choice B rationale
A common cause of peptic ulcer disease is an infection from Helicobacter pylori (H. pylori).
H. pylori is a bacterium that can damage the protective lining of your stomach and small intestine. This can lead to inflammation and ulcers.

Choice C rationale
Gastric ulcers do not occur more frequently than peptic ulcers. In fact, peptic ulcers include both gastric ulcers, which form on the lining of the stomach, and duodenal ulcers, which form on the lining of the upper part of the small intestine.
Choice D rationale
Erosion is not confined to the stomach and esophagus in peptic ulcer disease. Peptic ulcers can occur in the stomach and the duodenum, and less commonly, the lower esophagus.

A. Headache B. Muscle pain C. Increased appetite D. Stomach upset

Correct Answer is D

Explanation

Choice A rationale
While headaches can be a side effect of many medications, they are not commonly associated with daily aspirin intake.
Choice B rationale
Muscle pain is not a common side effect of daily aspirin intake. It is more commonly associated with statins, a class of drugs used to lower cholesterol levels.
Choice C rationale
Increased appetite is not a known side effect of daily aspirin intake.
Choice D rationale
Stomach upset is a potential adverse effect of taking daily aspirin. Aspirin can irritate the stomach lining, which can lead to symptoms such as heartburn and nausea.

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A nurse is providing instructions to a patient who is scheduled for a barium swallow to assess dysphagia. Which of the following patient statements would indicate to the nurse that the instructions have been understood?

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A nurse is providing instructions to a patient who is scheduled for a barium swallow to assess dysphagia.
Which of the following patient statements would indicate to the nurse that the instructions have been understood?