NursingPlex
    Sign In
    Ati pn adult medical surgical 2023 proctored exam

    A nurse is reinforcing teaching with a client who is scheduled to undergo an upper gastrointestinal series. Which of the following statements by the client indicates an understanding of the teaching.

    Explanation & Rationale

    The scenario involves evaluating a client's understanding of post-procedure care for an upper gastrointestinal series. Nurses must apply knowledge of barium contrast elimination to prevent gastrointestinal complications, specifically fecal impaction and bowel obstruction. Choice A rationale Barium sulfate contrast turns the stool a light, chalky white or clay color rather than black. Black, tarry stools indicate upper gastrointestinal bleeding or iron supplementation, which requires immediate medical evaluation and investigation. Choice B rationale Barium contrast absorbs water in the bowel and can harden, leading to severe constipation or fecal impaction. Increasing fluid intake for 48 hours post-procedure facilitates the rapid evacuation of barium from the gastrointestinal tract. Choice C rationale Fat intake does not interfere with the absorption or imaging quality of an upper gastrointestinal series. Clients typically need to remain nothing by mouth for 8 hours prior to the procedure to ensure a clear stomach. Choice D rationale Stimulant laxatives are not routinely prescribed before an upper gastrointestinal series. Pre-procedure care focuses on keeping the stomach empty, while laxatives or fluids are appropriately used after the procedure to expel the barium contrast.

    🔒 Submit your answer to reveal