The nurse in the GI Suite is preparing a patient for an Esophagogastroduodenoscopy (EGD). Which statement below indicates the patient may need some additional teaching?

I may have a sore throat following the procedure.

I will need someone to drive me home.

I will be left side-lying with the head of the bed elevated.

I can drink immediately after the procedure.

Answer and Explanation

The Correct Answer is D

Choice A rationale
It is normal to have a sore throat following an EGD procedure. The endoscope is passed down the throat, which can cause temporary discomfort.
Choice B rationale
Patients do need someone to drive them home after an EGD. The sedatives used during the procedure can impair their ability to drive safely.
Choice C rationale
Patients will be left side-lying with the head of the bed elevated during the procedure. This position helps to prevent aspiration.
Choice D rationale
Patients cannot drink immediately after the procedure. They must wait until their gag reflex has returned, which can take a few hours.

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Correct Answer is A

Explanation

Choice A rationale

Administering appropriate antibiotic therapy is a common nursing intervention to manage H. pylori infection. The recommended treatment for H. pylori typically involves using a triple-

drug therapy regimen, including a proton pump inhibitor or PPI like omeprazole, and two antibiotics, which include clarithromycin plus either metronidazole or amoxicillin. This treatment helps eradicate the bacterial infection through different mechanisms of action.

Choice B rationale

While maintaining a high-fiber diet is generally beneficial for overall health, it is not specifically related to the management of H. pylori infection. The primary treatment for H. pylori is antibiotic therapy, not dietary changes.

Choice C rationale

Over-the-counter antacids can help to neutralize stomach acid and provide temporary relief from symptoms, but they do not treat the underlying H. pylori infection. Therefore, while they may be used as part of symptom management, they are not a primary treatment strategy.

Choice D rationale

Assisting the patient with proper hand hygiene is always important in healthcare settings to prevent the spread of infections. However, it is not specifically related to the management of H. pylori infection. The bacteria are typically contracted during childhood, and the exact modes of transmission are not fully understood.

A. Acquired hemolytic anemia B. Pernicious anemia C. Iron-deficiency anemia D. Sickle cell anemia

Correct Answer is B

Explanation

Choice A rationale
Acquired hemolytic anemia is a condition where the body destroys red blood cells faster than it can produce them, but it is not typically associated with the need for lifelong vitamin B12 supplementation following stomach surgery.
Choice B rationale
Pernicious anemia is a condition that can develop in patients who have had a large portion of their stomach surgically removed. This is because the stomach plays a crucial role in the absorption of vitamin B12. Without sufficient stomach tissue, the body may not be able to

absorb enough vitamin B12 from food, leading to a deficiency. Therefore, these patients often require lifelong vitamin B12 supplementation.
Choice C rationale
Iron-deficiency anemia is typically caused by a lack of iron in the diet, not a lack of vitamin B12. Therefore, patients with this condition would not typically require lifelong vitamin B12 supplementation following stomach surgery.
Choice D rationale
Sickle cell anemia is a genetic disorder that affects the shape and function of red blood cells. It is not typically associated with the need for lifelong vitamin B12 supplementation following stomach surgery.

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The nurse in the GI Suite is preparing a patient for an Esophagogastroduodenoscopy (EGD). Which statement below indicates the patient may need some additional teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is taking care of a patient with H. pylori. What is a common nursing intervention to manage H. pylori infection?

Correct Answer is A

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

A patient who had a large portion of the stomach surgically removed will need to receive vitamin B12 for life due to which condition?

Correct Answer is B

Explanation

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