A nurse is teaching a client who has peptic ulcer disease and is scheduled for an esophagogastroduodenoscopy the next morning. Which following information should the nurse include in the teaching?

"You will be allowed to drive yourself home within 6 hours following the procedure."

"You might experience a hoarse voice for several days following the procedure."

"You can have a clear liquid diet for breakfast prior to the procedure."

"You should not take any of your routine medications until after the procedure is complete."

Answer and Explanation

The Correct Answer is B

A) "You will be allowed to drive yourself home within 6 hours following the procedure."This statement is incorrect. After an esophagogastroduodenoscopy (EGD), the patient is typically sedated, and the sedation can affect their alertness, coordination, and judgment. It is generally recommended that patients arrange for someone else to drive them home. It is unsafe for the patient to drive themselves after sedation, even if they feel alert. The nurse should instruct the client to have someone accompany them to the procedure and drive them home afterward.

B) "You might experience a hoarse voice for several days following the procedure."This statement is correct. A hoarse voice is a common and expected side effect after an esophagogastroduodenoscopy, as the procedure involves passing a flexible tube (endoscope) through the mouth and throat. The endoscope may cause irritation to the vocal cords or the lining of the throat, leading to a hoarse voice that can last for a few days. This is a normal, transient effect and should be explained to the patient in advance so they are not alarmed.

C) "You can have a clear liquid diet for breakfast prior to the procedure."This statement is incorrect. For most procedures like EGD, patients are typically instructed to fast for at least 6 to 8 hours prior to the procedure to ensure the stomach is empty. Having food or liquids before the procedure may increase the risk of aspiration or interfere with the examination. The nurse should educate the client to follow fasting instructions and avoid consuming any food or liquids, including clear liquids, as per the healthcare provider's guidelines.

D) "You should not take any of your routine medications until after the procedure is complete."

This statement is generally incorrect. Many patients are instructed to continue taking routine medications, especially if they are vital for managing chronic conditions, unless otherwise directed by the healthcare provider. In some cases, medications such as anticoagulants, aspirin, or certain blood pressure medications may need to be withheld temporarily before the procedure. However, the nurse should clarify with the healthcare provider which medications the client should stop or continue taking before the procedure. The patient should not withhold medications on their own without proper guidance.

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Correct Answer is A

Explanation

A) Stroke:
Hyperlipidemia and type 2 diabetes mellitus both contribute significantly to the development of atherosclerosis, which can lead to stroke. High levels of lipids in the blood can cause plaque buildup in the arteries, and diabetes can damage blood vessels and increase the likelihood of clots forming.

B) Benign prostatic hyperplasia:
While benign prostatic hyperplasia is a common condition in older men, it is not directly related to hyperlipidemia or diabetes. It is more related to age and hormonal changes rather than metabolic or vascular conditions.

C) Meniere’s disease:
Meniere's disease is a disorder of the inner ear that leads to vertigo, tinnitus, and hearing loss. It is not associated with hyperlipidemia or diabetes. The primary risk factors are genetic predisposition and abnormalities in the ear's fluid dynamics.

D) Hemophilia:
Hemophilia is a genetic disorder that affects the blood's ability to clot. It is inherited and not influenced by lifestyle-related conditions such as hyperlipidemia or diabetes. The risk factors for hemophilia are primarily genetic, with no direct link to metabolic conditions.

A. Place the client on his right side if tube resistance occurs. B. Check the tube patency every 4 hr. C. Flush the tube with 50 mL of 0.9% sodium chloride irrigation every 8 hr. D. Maintain the client in a supine position.

Correct Answer is B

Explanation

A) Place the client on his right side if tube resistance occurs: Positioning the client on the right side can help facilitate gastric emptying, but it is not a primary action to ensure NG tube patency. If tube resistance occurs, the nurse should assess and address the resistance more directly.

B) Check the tube patency every 4 hr: Regularly checking the tube patency ensures that the NG tube remains open and functional, preventing blockages and ensuring continuous decompression or feeding as required.

C) Flush the tube with 50 mL of 0.9% sodium chloride irrigation every 8 hr: Flushing the tube helps maintain patency, but the amount and frequency may vary based on facility protocols. Flushing every 8 hours might not be frequent enough to prevent blockages.

D) Maintain the client in a supine position: Keeping the client in a supine position is not recommended for maintaining NG tube patency and may increase the risk of aspiration. A semi-Fowler's position is usually preferred to promote drainage and reduce aspiration risk.

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A nurse is teaching a client who has peptic ulcer disease and is scheduled for an esophagogastroduodenoscopy the next morning. Which following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

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