A nurse is teaching a client about preparation for a barium enema.
What client statement indicates the client requires further reinforcement of teaching?
I will eat my breakfast prior to coming in for the study.
I may need to have laxatives to expel the barium.
I will receive the barium prior to the study by rectum.
I will need to lie down during the study while retaining the barium for x-rays.
The Correct Answer is A
The client should not eat anything before the barium enema, as this could interfere with the visualization of the colon. The client should also take a laxative and an enema the night before the test to clear the bowel of any fecal matter.
Choice B is wrong because the client may need to have laxatives to expel the barium after the test, not before. Barium can cause constipation and impaction if not eliminated promptly.
Choice C is wrong because the client will receive the barium prior to the study by rectum, which is correct. The barium is a contrast agent that helps outline the colon on X-rays.
Choice D is wrong because the client will need to lie down during the study while retaining the barium for X-rays, which is correct. The client may also be asked to change positions to allow different views of the colon.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is the most appropriate action because it respects the client’s right to know and the family’s right to privacy.
It also allows the nurse to collaborate with the family and the healthcare provider to provide the best care for the client.
Choice B is wrong because it violates the client’s autonomy and dignity.
It also prevents the client from making informed decisions about end-of-life care.
Choice C is wrong because it denies the reality of the situation and does not address the client’s concerns.
It also may increase the client’s anxiety and frustration.
Choice D is wrong because it disregards the family’s wishes and cultural values.
It also may cause harm to the client and the family by breaking their trust and creating conflict.
Correct Answer is C
Explanation
The popliteal artery is a major blood vessel that runs behind the knee and supplies blood to the lower leg. Sitting with knees crossed can compress this artery and reduce blood flow to the leg.
This can cause numbness, tingling, or pain in the leg. It can also increase the risk of blood clots or varicose veins.
Choice A is wrong because sitting with knees crossed does not decrease the risk of skin breakdown behind the knee. In fact, it may increase the risk by causing friction or pressure on the skin.
Choice B is wrong because sitting with knees crossed does not eliminate the pain of arthritis in the lower legs.
Arthritis is a joint inflammation that causes pain, stiffness, and swelling. Sitting with knees crossed can worsen these symptoms by putting more stress on the knee joints.
Choice D is wrong because sitting with knees crossed does not avoid irritation of the knee joints.
On the contrary, it can cause irritation by overstretching the knee ligaments and muscles
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