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    ATI LPN Comprehensive Predictor 2023 Proctored Exam

    A nurse is caring for a client who has peptic ulcer disease and is scheduled to undergo an esophagogastroduodenoscopy. Which of the following actions should the nurse take prior to the procedure?

    Explanation & Rationale

    A. Ensure that the client gave informed consent. Confirming that the client has provided informed consent is a critical step before any invasive procedure, including an esophagogastroduodenoscopy (EGD). The nurse should ensure that the client understands the procedure, its risks, benefits, and any alternatives before the procedure begins. B. Administer an oral contrast solution. Oral contrast is typically not used for an EGD, as the procedure involves direct visualization of the esophagus, stomach, and duodenum. Instead, the client may need to follow specific dietary restrictions prior to the procedure, such as fasting. C. Ensure that the client's bladder is full. A full bladder is not required for an EGD. In fact, it is more important for the client to be in a comfortable position and relaxed during the procedure. An empty stomach is preferred to reduce the risk of aspiration. D. Inform the client the procedure will take 60 min. While informing the client about the duration of the procedure is important, the exact time can vary. Providing a range or informing the client that the procedure may take some time is more appropriate, as it helps manage expectations without causing unnecessary anxiety.

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