A patient who is scheduled for a barium swallow asks a nurse why a laxative is necessary after the procedure. Which of the following responses should the nurse make?
It helps eliminate the barium.
The medication has been prescribed by your provider.
The medication will turn your stool white.
It is the protocol at this facility.
The Correct Answer is A
Choice A rationale
A laxative is necessary after a barium swallow procedure because barium can cause constipation or impacted stool if it isn’t completely cleared from the body. The laxative helps to ensure that all of the barium leaves the body.
Choice B rationale
While it’s true that the medication has been prescribed by the provider, this doesn’t explain why it’s necessary after a barium swallow procedure.
Choice C rationale
The medication will not turn the stool white. However, the barium used in the procedure can cause the stool to be lighter in color until it’s completely passed from the body.
Choice D rationale
The use of a laxative after a barium swallow is not just a protocol at the facility, but a medical necessity to prevent constipation or impacted stool caused by the barium
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Aspartate aminotransferase (AST) is an enzyme that is found in various tissues, including the liver. Elevated levels of AST can indicate liver damage or disease.
Choice B rationale
Albumin is a protein that is made by the liver. It helps keep fluid in the bloodstream so it doesn’t leak into other tissues. Low levels of albumin can indicate liver disease.
Choice C rationale
Lipase is an enzyme that is produced by the pancreas and used in the digestion of fats. It is not a marker of liver function.
Choice D rationale
Alanine transaminase (ALT) is an enzyme found mostly in the cells of the liver and kidney. Much like AST, high levels of ALT can indicate liver damage or disease.
Correct Answer is B
Explanation
Choice A rationale
Drinking a glass of water with each meal is not typically recommended for patients with dumping syndrome. In fact, it’s often suggested to avoid drinking liquids until at least 30 minutes after a meal.
Choice B rationale
Increasing protein in the diet is indeed a good recommendation for a patient with dumping syndrome. High-protein foods can help to slow the rate of gastric emptying and reduce symptoms.
Choice C rationale
Eating three moderate-sized meals a day might not be the best advice for a patient with dumping syndrome. Instead, it’s often recommended to eat smaller, more frequent meals throughout the day.
Choice D rationale
Eating a bedtime snack that contains a milk product is not typically recommended for patients with dumping syndrome. Dairy products can sometimes exacerbate symptoms.
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