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
Folate, also known as vitamin B9, is essential for many functions in the body, including cell growth and division, amino acid metabolism, and the formation of white and red blood cells. However, it is not the treatment for pernicious anemia.
Choice B rationale
Pernicious anemia is a condition where the body cannot absorb enough vitamin B12 in the small intestine, causing a drop in red blood cells. Treatment for pernicious anemia involves vitamin B12 injections or oral supplementation to restore levels to an optimal range, followed by continued injections or oral medications to maintain these levels.
Choice C rationale
Vitamin C is essential for the growth, development, and repair of all body tissues. It’s involved in many body functions, including the formation of collagen, absorption of iron, the immune system, wound healing, and the maintenance of cartilage, bones, and teeth. However, it is not the treatment for pernicious anemia.
Choice D rationale
Iron is a mineral that our bodies need for many functions. For example, iron is part of hemoglobin, a protein which carries oxygen from our lungs throughout our bodies. However, it is not the treatment for pernicious anemia.

A. Dumping syndrome B. Hypothyroidism C. Pulmonary embolism D. Urinary tract infection

Correct Answer is A

Explanation

Choice A rationale
Dumping syndrome is a common complication after gastric surgery. It is a condition where ingested foods bypass the stomach too rapidly and enter the small intestine largely undigested. It’s called "dumping" because the contents of the stomach are "dumped" into the small intestine too quickly.
Choice B rationale
Hypothyroidism is not typically a complication of gastric surgery. Hypothyroidism is a condition in which the thyroid gland does not produce enough thyroid hormones. It is not directly related to gastric surgery.

Choice C rationale
While pulmonary embolism is a potential complication of any surgery due to the risk of blood clots, it is not specific to gastric surgery.
Choice D rationale
Urinary tract infections are not typically a complication of gastric surgery. They occur when bacteria enter the urinary tract, and are not directly related to gastric 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

A nurse is reinforcing teaching about pernicious anemia with a client following a total gastrectomy. Which of the following dietary supplements should the nurse include in the teaching as the treatment for pernicious anemia?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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