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?
Expect black tarry stools.
Follow a low-fiber diet for several days.
Take an over-the-counter antidiarrheal medication.
Increase fluid intake.
The Correct Answer is D
Choice A Reason:
Expecting black tarry stools is not a typical instruction after an upper gastrointestinal series with barium contrast. Black tarry stools can indicate gastrointestinal bleeding, which is unrelated to the ingestion of barium contrast.
Choice B Reason:
Following a low-fiber diet for several days is not necessary after an upper gastrointestinal series with barium contrast. In fact, a normal or high-fiber diet may be encouraged to help pass the barium through the digestive system.
Choice C Reason:
Taking an over-the-counter antidiarrheal medication is not a standard instruction post-barium contrast procedure. Barium contrast can cause constipation, so taking antidiarrheal medication would be counterproductive.
Choice D Reason:
Increasing fluid intake is an important instruction for a patient after an upper gastrointestinal series with barium contrast. Drinking extra liquids helps to move the barium out of the intestines and prevent constipation, which can be a side effect of barium contrast.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Asking about allergies to medications is important for a complete medical history and could explain the current reaction. However, it is not the highest priority in this situation. The immediate concern should be the client's current symptoms and potential progression to a more severe reaction.
Choice B Reason:
Administering diphenhydramine, an antihistamine, is a common treatment for hives and itching due to an allergic reaction. While it is an appropriate action to take, it is not the highest priority. The nurse must first assess the severity of the reaction, particularly the client's airway and breathing.
Choice C Reason:
Difficulty breathing can indicate a severe allergic reaction, such as anaphylaxis, which is a life-threatening emergency. This statement is the highest priority because it directly addresses the client's airway, which can be compromised in severe allergic reactions.
Choice D Reason:
Taking the client's heart rate is part of the assessment and can provide important information about the client's hemodynamic status. However, it is not the highest priority. The nurse should first assess for any signs of respiratory distress, which would require immediate intervention.
Correct Answer is A
Explanation
Choice A Reason:
For a client with AIDS and malnutrition, providing a high-calorie diet is essential. Malnutrition can be a significant issue for individuals with AIDS due to various factors, including decreased appetite, nutrient malabsorption, and the increased metabolic demands of the body fighting the infection. A high-calorie diet can help meet the increased energy requirements and improve nutritional status, which is crucial for maintaining immune function and overall health.
Choice B Reason:
Encouraging three large meals daily may not be the best approach for someone with AIDS and malnutrition. Large meals can be overwhelming and may lead to decreased overall intake if the client feels too full or has a poor appetite. Instead, frequent small meals and snacks throughout the day can be more manageable and effective in meeting the client's nutritional needs.
Choice C Reason:
Administering an antiemetic after each meal may be necessary if the client experiences nausea, which can be a side effect of medications or the illness itself. However, this should be based on the client's symptoms and needs, rather than a routine practice. Antiemetics can help manage nausea and improve food intake, but they should be used judiciously and as needed.
Choice D Reason:
Seasoning foods with spices can enhance flavor and may improve food intake for some clients. However, this should be tailored to the individual's taste preferences and tolerance. Some individuals with AIDS may have altered taste sensations or may be sensitive to certain spices, so it's important to consider these factors when seasoning foods.
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