When scheduling diagnostic tests, which of the following would the nurse schedule last?

Esophagogastroduodenoscopy (EGD)

Barium Enema

Abdominal ultrasound

Abdominal CT scan

Answer and Explanation

The Correct Answer is D

A.   An EGD involves inserting a flexible tube with a camera through the mouth into the esophagus, stomach, and duodenum. It often requires the patient to be NPO (nothing by mouth) for several hours beforehand, but it can typically be done before other imaging tests.
B.   A barium enema is a radiologic examination of the large intestine that uses a barium contrast solution. Patients may need to follow a special diet and take laxatives prior to the test. It's often done earlier in the testing schedule to clear the bowel before other procedures.
C.   An abdominal ultrasound is a non-invasive imaging test that does not require any special preparations, although patients are often advised to fast for a few hours beforehand for optimal results. It can typically be scheduled relatively flexibly in relation to other tests.
D.   An abdominal CT scan may involve the use of contrast agents, which can be given orally or intravenously. If the patient has had a barium study (like a barium enema) before the CT scan, it’s generally recommended to schedule the CT scan last. This is because residual barium in the gastrointestinal tract can interfere with the imaging results of a CT scan.

Nursing Test Bank

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Correct Answer is C

Explanation

A. Constipation can be uncomfortable and may require management, but it is not typically a direct complication of peptic ulcer disease. While it is important to address, it does not pose an immediate threat to the client’s health.

B. Epigastric discomfort is a common symptom of peptic ulcer disease and can indicate that the ulcer is active or that the patient is experiencing gastric distress. However, it does not indicate a severe or life- threatening condition and should be managed but is not a priority finding.
C. Hematemesis, or vomiting blood, is a serious symptom that indicates possible bleeding from the ulcer. This is a potentially life-threatening condition that requires immediate medical intervention, as it can lead to significant blood loss and complications such as shock.
D. Dyspepsia refers to general digestive discomfort, which may include symptoms like bloating, nausea, and heartburn. While it is a common symptom in peptic ulcer disease, it does not indicate an urgent medical condition.

A. "I can stop using behavior modification practices to promote weight loss after surgery." B. "I can expect improvement of my blood pressure and a reduced risk for Diabetes because I had the surgery." C. "A gastric sleeve is a permanent procedure that does not allow for reversal." D. "The gastric bypass procedure creates a small stomach pouch to restrict food intake."

Correct Answer is A

Explanation

A. Behavioral modifications are crucial for long-term success after bariatric surgery. Surgery is a tool to aid weight loss, but without continued behavioral changes, patients may regain weight. Ongoing support and behavioral strategies are essential for maintaining weight loss and promoting a healthy lifestyle.
B. Many patients experience significant improvements in comorbidities such as hypertension and type 2 diabetes following bariatric surgery due to weight loss and metabolic changes. This reflects a positive outcome of the surgery.
C. The gastric sleeve procedure involves removing a large portion of the stomach, which cannot be reversed. Patients should understand that this is a permanent change to their digestive system.
D. The gastric bypass procedure involves creating a small pouch from the stomach and rerouting the small intestine to this pouch, effectively reducing food intake and nutrient absorption. This is a well- understood aspect of the procedure.

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When scheduling diagnostic tests, which of the following would the nurse schedule last?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the nurse identify as the priority?

Correct Answer is C

Explanation

The nurse is educating a patient about the different types of bariatric surgeries for weight loss. Which of the following statements indicate a need for further teaching?

Correct Answer is A

Explanation

A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse recognize as a risk factor for this condition?

What manifestation is not present in dumping syndrome following a gastrectomy?

The nurse is caring for a client with Clostridium Difficile. Which of the following infection control precautions should the nurse implement?(Select All that Apply.)

The patient who is morbidly obese has just undergone gastric bypass surgery. Which immediate post-operative intervention has the greatest priority?

A nurse is caring for a 6-week-old infant who has a pyloric stenosis. Which of the following clinical manifestations should the nurse expect?

Which of the following responses should the nurse offer to a patient who asks why he's having a vagotomy to treat his ulcer?

The nurse is assessing a patient prior to surgery for oral cancer. Which of the following would be considered a risk factor for the development of this disease?