A client with epigastric pain is scheduled for an upper GI series. Which client statement indicates understanding of the procedure?
Explanation & Rationale
An upper gastrointestinal series is a radiographic study using fluoroscopy to examine the anatomy of the upper gut. The patient ingests a radiopaque contrast medium, usually barium sulfate, which outlines the internal structures. This procedure is non-invasive and does not require sedation or entry into a confined space. A. "I will have to swallow barium.": Barium sulfate is a thick, chalky suspension that coats the walls of the esophagus and stomach for visualization. It is the primary contrast agent used to highlight structural abnormalities like ulcers or tumors. The client must drink this liquid during the procedure. B. "A flexible tube will be inserted into my stomach.": This statement describes an esophagogastroduodenoscopy (EGD), which is an invasive endoscopic procedure. The upper GI series is a radiographic exam that does not involve the insertion of tubes or scopes. No internal mechanical entry is required for this test. C. "I cannot have the test done if I am claustrophobic.": This concern is relevant for Magnetic Resonance Imaging (MRI) but not for an upper GI series. The fluoroscopy machine is open-air, allowing the patient to stand or lie on an open table. There is no confinement in a narrow tunnel. D. "Dye will be injected into my vein before the test.": Intravenous contrast is used in CT scans or IV pyelograms, but not in a standard barium swallow. The contrast for this specific test is ingested orally to visualize the lumen of the digestive tract. Systemic injection is not part of this protocol.