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 B

Explanation

Choice A rationale
Increasing fluid intake after a barium swallow test is recommended. This helps to flush the barium out of the system and can help to prevent constipation.
Choice B rationale
Stools will not be normal in color after a barium swallow test. It is normal for bowel movements to appear lighter in color, or even white, after a barium study.
Choice C rationale
The barium swallow test does examine the esophagus, stomach, duodenum, and jejunum. The barium coats the lining of these organs, making them easier to see on an X-ray.
Choice D rationale
Patients may need to take laxatives to prevent constipation from the barium. Barium can slow down the digestive system, so taking a laxative can help to keep things moving.

A. High hemoglobin B. Yellowing of the skin C. Acute, sharp, and severe abdominal pain D. High hematocrit .

Correct Answer is C

Explanation

Choice A rationale
High hemoglobin is not typically a symptom of a perforated peptic ulcer. Hemoglobin is a protein in red blood cells that carries oxygen. While changes in hemoglobin levels can indicate various health conditions, they are not directly associated with a perforated peptic ulcer.
Choice B rationale
Yellowing of the skin, or jaundice, is a symptom typically associated with liver disease, not a perforated peptic ulcer. Jaundice occurs when there’s too much bilirubin, a yellow-orange substance, in your blood.
Choice C rationale
Acute, sharp, and severe abdominal pain is a common symptom of a perforated peptic ulcer. A perforated peptic ulcer is a medical emergency that occurs when an ulcer goes through all the layers of the stomach or duodenum wall, creating a hole. This allows stomach or intestinal contents to leak into the abdominal cavity, causing severe abdominal pain.

Choice D rationale
High hematocrit is not typically a symptom of a perforated peptic ulcer. Hematocrit is the proportion of your total blood volume that is composed of red blood cells. While changes in hematocrit levels can indicate various health conditions, they are not directly associated with a perforated peptic ulcer. Dumping syndromeDumping syndrome Explore

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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

A patient has received a barium swallow test to rule out esophageal strictures and gastric ulcer. The nurse is educating the patient on what is expected post barium swallow. What statement indicates that the patient did not understand all of the teaching by the nurse?

Correct Answer is B

Explanation

A nurse is gathering information from a patient who is experiencing a perforation of a peptic ulcer. Which of the following symptoms should the nurse anticipate?

Correct Answer is C

Explanation

A nurse is collecting data from a client in the health clinic who is reporting epigastric pain. Which of the following statements made by the client should the nurse identify as being consistent with peptic ulcer disease?

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

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The Health Care Provider orders a blood test for your patient. The nurse knows that which of the following enzymes does not indicate liver function?

The nurse instructs a client prescribed omeprazole for peptic ulcer disease about the use of the medication. Which patient statements indicate understanding of the instructions? (Select all that apply.)

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A nurse is providing dietary advice to a patient who has GERD. Which of the following food choices by the patient would indicate an understanding of the advice?