A nurse is teaching a client who is scheduled for an esophagogastroduodenoscopy. Which of the following information should the nurse include?
"Report a sore throat to the provider after the procedure."
"Drink clear liquids the morning of the procedure."
"You may drive home 2 hr after the procedure."
"We will check your gag reflex after the procedure."
The Correct Answer is D
Rationale:
A. A mild sore throat is a common expected finding after an EGD due to insertion of the endoscope through the oropharynx and esophagus. It usually resolves without intervention. Only severe pain, bleeding, or difficulty swallowing would require further evaluation.
B. Clients are typically instructed to remain NPO (nothing by mouth) for 6–8 hours before an EGD to ensure an empty stomach. This reduces the risk of aspiration during sedation and scope insertion.
C. Clients receive sedative medications during an EGD, which impair judgment, reflexes, and coordination. They should not drive, operate machinery, or make important decisions for the remainder of the day. They must have a responsible adult accompany them home.
D. After an EGD, local anesthetic (such as lidocaine spray) is often used to suppress the gag reflex. The nurse must assess the return of the gag reflex before allowing oral intake to prevent aspiration. This is a key safety step in post-procedure care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Tympanic temperature measurement is not recommended for newborns because their ear canals are very small and curved, which can lead to inaccurate readings. Proper probe placement is also difficult in this age group.
B. The axillary (underarm) site is the preferred and safest method for measuring temperature in newborns. It is noninvasive, reduces the risk of injury, and provides an acceptable estimate of core body temperature when proper technique is used.
C. Although rectal temperatures are considered very accurate, they are not routinely recommended in newborns due to the risk of rectal perforation, especially in fragile neonatal tissues. It is also invasive and uncomfortable.
D. Oral temperature measurement is not appropriate for newborns because they cannot reliably hold the thermometer in their mouth, and they lack the coordination needed for accurate measurement.
Correct Answer is B
Explanation
Rationale:
A. HSV-2 typically presents with painful vesicular lesions in the genital area, not a rash on the palms and soles. While disseminated HSV can occur in severe immunocompromised cases, it is not characterized by a typical palm and sole rash.
B. Secondary syphilis is classically associated with a diffuse, nonpruritic rash that often involves the palms of the hands and soles of the feet. This occurs due to systemic dissemination of Treponema pallidum. Other findings may include fever, lymphadenopathy, and mucous membrane lesions.
C. Gonorrhea typically presents with urethral or cervical discharge, dysuria, and pelvic or testicular pain. Disseminated gonococcal infection may cause arthritis and pustular skin lesions, but palm and sole involvement is not a hallmark feature.
D. Hepatitis B primarily affects the liver and may present with jaundice, fatigue, dark urine, and right upper quadrant discomfort. It is not associated with a characteristic rash on the palms and soles.
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