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.
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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Related Questions
Correct Answer is B
Explanation
Choice A rationale
While administering pain medication may provide temporary relief, it does not address the underlying issue of a perforated ulcer, which is a medical emergency.
Choice B rationale
Preparing the client for surgery is the priority action for a nurse when a perforated ulcer is suspected. A perforated ulcer is a medical emergency that often requires immediate surgery.
Choice C rationale
Initiating IV fluid resuscitation may be part of the management for a suspected perforated ulcer, but it is not the first priority. The first priority is to stabilize the patient and prepare for possible surgery.
Choice D rationale
Obtaining a stat abdominal X-ray may help confirm the diagnosis of a perforated ulcer, but it is not the first priority. The first priority is to stabilize the patient and prepare for possible surgery.
Correct Answer is B
Explanation
Choice A rationale
Elevating the patient’s legs on two pillows is not typically a necessary action after a liver biopsy. This position does not directly aid in the recovery or prevention of complications related to a liver biopsy.
Choice B rationale
Positioning the patient on the right side after a liver biopsy is a common nursing intervention. This position applies pressure to the liver biopsy site, which can help minimize bleeding and facilitate clot formation at the biopsy site.
Choice C rationale
Keeping the patient in a high Fowler’s position is not typically recommended after a liver biopsy. This position does not provide direct benefits in terms of recovery or prevention of complications from a liver biopsy.
Choice D rationale
Ambulating the patient twice each shift is not typically recommended immediately after a liver biopsy. Rest is usually advised to allow the liver tissue to heal and to minimize the risk of bleeding.
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