After a diagnostic work-up, a 56-year-old male client was diagnosed with a duodenal ulcer caused by Helicobacter pylori infection.
After treatment, the client is to have an esophagogastroduodenoscopy (EGD). Which teaching should the nurse reinforce?
“Before the procedure, you’ll need to remove any dentures.”.
“After the procedure, you may have a sore throat for which you can use warm gargles or ice.”.
“This test will allow the doctor to see directly into your esophagus, stomach, and part of your small intestine.”.
“After the procedure, you can have something to drink after your gag reflex returns.”.
The Correct Answer is D
Choice A rationale
While it’s true that dentures and other oral appliances should be removed before an EGD to prevent damage or loss during the procedure, this information is not the most crucial for the patient to understand.
Choice B rationale
Although a sore throat can occur after an EGD due to the passage of the endoscope, it’s not the most important information. The patient should be aware that the sore throat is temporary and can be relieved with warm gargles or ice.
Choice C rationale
This choice is accurate. An EGD allows the doctor to directly visualize the esophagus, stomach, and part of the small intestine. However, this information, while important, is not the most critical aspect for the patient to understand about the post-procedure period.
Choice D rationale
This is the correct answer. After an EGD, it’s crucial for the patient to understand that they should not eat or drink until their gag reflex has returned. This is to prevent aspiration, which can occur if the patient tries to swallow food or liquid before the gag reflex is functioning properly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Regular use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, is a risk factor for peptic ulcers. These medications can irritate the stomach lining and increase the risk of ulcers.
Choice B rationale
Drinking green tea is not typically associated with an increased risk of peptic ulcers.
Choice C rationale
Consuming spicy foods can exacerbate the symptoms of a peptic ulcer, but it is not a primary risk factor for the development of the condition.
Choice D rationale
A history of bulimia can contribute to a variety of health problems, but it is not a primary risk factor for peptic ulcers. Dumping syndromeDumping syndrome Explore
Correct Answer is B
Explanation
Choice A rationale
Ecchymosis of the extremities is not a typical finding in a patient with an obstruction and inflammation of the common bile duct due to cholelithiasis.
Choice B rationale
Fatty stools, or steatorrhea, is a common symptom in patients with cholelithiasis. This is because the obstruction in the common bile duct can prevent the flow of bile, which is necessary for the digestion and absorption of fats.
Choice C rationale
Straw-colored urine is not typically associated with cholelithiasis. Dark urine can be a symptom of this condition, as the obstruction can cause bilirubin to leak into the blood and urine.
Choice D rationale
Tenderness in the left upper abdomen is not a typical symptom of cholelithiasis. Pain associated with this condition is usually located in the right upper quadrant or the middle upper part of the abdomen.
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