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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A Reason:
Increasing vitamin C intake by drinking orange juice is not recommended for patients with GERD. Citrus fruits, like oranges, are acidic and can exacerbate GERD symptoms by increasing stomach acidity and the likelihood of reflux.

Choice B Reason:
Eating smaller, more frequent meals is beneficial for managing GERD. Large meals can increase stomach pressure and the likelihood of acid reflux. Smaller meals reduce this risk and can help to control GERD symptoms.

Choice C Reason:
Sleeping flat on the back is not advisable for GERD patients. It is recommended to elevate the head of the bed or use a wedge pillow to prevent acid from flowing back into the esophagus during sleep.

Choice D Reason:
Lying down after eating can worsen GERD symptoms. It is recommended to stay upright for at least two to three hours after a meal to allow gravity to help keep the stomach contents from refluxing.

A. Administer the feeding solution at a cold temperature. B. Flush the tube with 90 mL of sterile water before and after the feeding. C. Elevate the head of the client's bed for 1 hour after the feeding. D. Rotate the jejunostomy tube once per day.

Correct Answer is C

Explanation

Choice A Reason:
Administering the feeding solution at a cold temperature is not recommended because it can cause discomfort and potentially lead to gastrointestinal symptoms such as cramping. The feeding solution should be at room temperature to ensure the comfort of the client and to prevent any unnecessary complications.

Choice B Reason:Typically, the tube is flushed with about 30 mL of water before and after feedings to ensure patency and prevent clogging, not 90 mL.

Choice C Reason:Elevating the head of the bed helps prevent aspiration and promotes proper digestion by using gravity to keep the feeding solution in the stomach or jejunum.

Choice D Reason:
Rotating the jejunostomy tube once per day is not a standard practice and is generally not recommended. Rotating the tube can cause irritation to the jejunum and may increase the risk of complications such as infection or dislodgement of the tube.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERD). Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

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Correct Answer is C

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