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 ["A","C"]
Explanation
Choice A rationale: Allergy to penicillin can be a contraindication for administering cefazolin because of potential cross-reactivity between penicillins and cephalosporins. This client’s documented allergy to penicillin with symptoms of rash and throat swelling is significant and raises concern for a potential allergic reaction to cefazolin.
Choice B rationale: Elevated WBC count indicates an ongoing infection or inflammation, which is not a contraindication for cefazolin. Instead, it suggests the need for an antibiotic like cefazolin to manage the infection.
Choice C rationale: Prescription for furosemide is relevant because combining cephalosporins like cefazolin with diuretics like furosemide can increase the risk of nephrotoxicity. It’s important to consider the client’s renal function and monitor for potential kidney damage.
Choice D rationale: Fever >38.3°C is an indication for antibiotic therapy, not a contraindication. The elevated temperature suggests an infection that needs to be treated, making cefazolin appropriate in this context.
Correct Answer is A
Explanation
Choice A rationale
Recent exposure to tuberculosis is the priority for the nurse to address because tuberculosis is a contagious and potentially serious infectious disease. Addressing this first helps prevent the spread of infection to other clients and healthcare staff.
Choice B rationale
While a history of generalized anxiety disorder is important, it is not the immediate priority compared to a contagious disease like tuberculosis. Anxiety can be managed with ongoing care and support.
Choice C rationale
Nocturia is a condition characterized by frequent urination at night and can indicate underlying health issues, but it is not an immediate priority compared to tuberculosis exposure.
Choice D rationale
Periodic migraine headaches can be debilitating and require management, but they do not pose an immediate risk to others like tuberculosis exposure does.
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