A nurse is reinforcing teaching with a client following an upper gastrointestinal series using barium contrast.Which of the following instructions should the nurse include?
Increase fluid intake.
Take an over-the-counter antidiarrheal medication.
Expect black, tarry stools.
Follow a low-fiber diet for several days.
The Correct Answer is A
Choice A rationale
Increasing fluid intake helps flush out the barium contrast from the body to prevent constipation and promote bowel movements.
Choice B rationale
Over-the-counter antidiarrheal medications are not appropriate because barium can cause constipation, not diarrhea.
Choice C rationale
Barium contrast does not cause black, tarry stools. Instead, it causes stools to be white or light-colored.
Choice D rationale
Following a low-fiber diet is not recommended after a barium contrast study. High-fiber foods help facilitate bowel movements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Having clear liquids up to 3 hours before the procedure is incorrect. Clients are generally advised to be NPO (nothing by mouth) for a certain period before a bronchoscopy to prevent aspiration.
Choice B rationale
Eating as soon as the procedure is completed is incorrect. Clients need to wait until their gag reflex has returned before eating or drinking to prevent choking or aspiration.
Choice C rationale
Blood-tinged sputum after the procedure is an expected finding. Bronchoscopy can cause minor irritation and bleeding in the airways, leading to blood-tinged sputum.
Choice D rationale
Receiving an injection of radioactive material prior to the procedure is incorrect. This statement confuses bronchoscopy with other diagnostic tests such as a PET scan. Bronchoscopy involves direct visualization of the airways using a bronchoscope. .
Correct Answer is B
Explanation
Choice A rationale
Using a straw can increase the risk of aspiration in clients with dysphagia as it forces liquid directly to the back of the throat without adequate control.
Choice B rationale
Providing oral care before meals can help stimulate the appetite and ensure that the mouth is clean, reducing the risk of infection and improving the overall eating experience.
Choice C rationale
Scheduling physical therapy directly before meals can cause fatigue, making it more difficult for the client to eat safely and effectively.
Choice D rationale
Tilting the head back can increase the risk of aspiration. The safer method for clients with dysphagia is usually to keep the head in a neutral or slightly forward position when swallowing.
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