NursingPlex
    Sign In
    Med Surg 2 Proctored Exam

    The nurse is caring for a client who has frequent gastric pain and dyspepsia. Which procedure would the nurse expect the health care provider to order to make an accurate diagnosis?

    Explanation & Rationale

    A. Esophagogastroduodenoscopy (EGD): EGD is the gold standard diagnostic procedure for evaluating clients with frequent gastric pain and dyspepsia. It allows direct visualization of the esophagus, stomach, and duodenum, enabling the detection of gastritis, ulcers, tumors, or other mucosal abnormalities. Additionally, EGD permits biopsy for histopathological examination, which is critical for identifying Helicobacter pylori infection or malignancy. B. Abdominal arteriogram: An abdominal arteriogram is an imaging study that evaluates the blood vessels of the abdomen and is primarily used to detect vascular abnormalities such as aneurysms or stenosis. It does not provide information about the gastric mucosa or detect the underlying causes of dyspepsia, making it unsuitable for this clinical scenario. C. Magnetic resonance imaging (MRI): MRI provides detailed images of soft tissue structures but is not routinely used for evaluating mucosal lesions of the stomach or duodenum. While it can detect masses or structural abnormalities, it lacks the sensitivity to identify subtle mucosal inflammation or ulcers that cause dyspepsia. D. Nuclear medicine scan: Nuclear medicine scans, such as gastric emptying studies or liver-spleen scans, assess organ function rather than provide direct visualization of mucosal surfaces. They are not typically used to diagnose the cause of gastric pain or dyspepsia and are less accurate than EGD for detecting gastritis or peptic ulcers.

    🔒 Submit your answer to reveal