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.”.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale
A 56-year-old who had a colonoscopy 6 years ago does not necessarily need a colonoscopy unless there are other risk factors present.
Choice B rationale
A 45-year-old who has Clostridium difficile does not necessarily need a colonoscopy unless there are other risk factors present.

Choice C rationale
A 32-year-old who has a sister who died of colon cancer is at a higher risk for developing colon cancer and should therefore be scheduled for a colonoscopy.
Choice D rationale
A 34-year-old who reports a new onset of constipation does not necessarily need a colonoscopy unless there are other risk factors present.

A. Chlorhexidine B. Alcohol-based antiseptic C. Povidone-iodine D. Soap and water

Correct Answer is D

Explanation

Choice A rationale
Chlorhexidine is an antiseptic that is used for cleaning the skin or the hands and helps to prevent infections caused by bacteria. However, it is not the recommended cleansing agent for hand hygiene in a Clostridium difficile infection.
Choice B rationale
Alcohol-based antiseptics are commonly used for hand hygiene in healthcare settings. However, they are not effective against Clostridium difficile spores.
Choice C rationale
Povidone-iodine is an antiseptic used for skin disinfection before and after surgery. It may not be effective against Clostridium difficile spores.
Choice D rationale
Soap and water are recommended for hand hygiene when caring for a patient with a Clostridium difficile infection. This is because soap and water are effective in removing C. difficile spores from hands.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider’s office is reviewing the health histories of four clients. For which of the following clients should the nurse anticipate scheduling a colonoscopy?

Correct Answer is C

Explanation

A nurse is caring for a patient who has a Clostridium difficile infection. Which cleansing agent should the nurse use for hand hygiene?

Correct Answer is D

Explanation

A nurse is planning care for a client who is scheduled for a colonoscopy. The nurse should expect the client to receive which of the following types of anesthesia?

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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?