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.
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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Related Questions
Correct Answer is A
Explanation
Choice A rationale
Elevating the head of the bed is a recommended strategy to minimize the effects of reflux during sleep. This position uses gravity to keep stomach acid from flowing back into the esophagus.
Choice B rationale
Eating a snack 1 hour before going to bed can actually worsen reflux symptoms. It’s generally recommended to avoid eating 2-3 hours before bedtime.
Choice C rationale
Alcohol can relax the lower esophageal sphincter, making it easier for stomach acid to reflux into the esophagus. Therefore, consuming alcohol before bed is not advisable.
Choice D rationale
Sleeping on the stomach with the head flat can exacerbate reflux symptoms. This position does not utilize gravity to keep stomach acid from flowing back into the esophagus.
Correct Answer is B
Explanation
Choice A rationale
Increasing fluid intake after a barium swallow test is recommended. This helps to flush the barium out of the system and can help to prevent constipation.
Choice B rationale
Stools will not be normal in color after a barium swallow test. It is normal for bowel movements to appear lighter in color, or even white, after a barium study.
Choice C rationale
The barium swallow test does examine the esophagus, stomach, duodenum, and jejunum. The barium coats the lining of these organs, making them easier to see on an X-ray.
Choice D rationale
Patients may need to take laxatives to prevent constipation from the barium. Barium can slow down the digestive system, so taking a laxative can help to keep things moving.
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