Practice Quiz

CMSRN Medical-Surgical Nursing

Category - Gastrointestinal

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Ruby, a college student, was admitted due to persistent abdominal pain, nausea, vomiting, and difficulty in swallowing. The doctor orders for an upper GI series. Nursing preparation for this procedure includes:
  1. NPO for 24 hours before the procedure
  2. Administering an enema or cathartic to enhance visualization
  3. Discouraging the client from smoking the morning of the procedure because smoking can stimulate gastric motility
  4. Instructing the client that the test involves insertion of a rubber gastroscopy tube
Explanation
Answer - C - Clients are on NPO and encouraged not to smoke or take medications the morning of an upper GI series. Clients are NPO for 6-8 hours, not 24 hours (Choice A). Enemas or cathartics (Choice B) are not given prior to upper GI series, rather after the series, to aid in the elimination of the barium. The test involves an X-ray, using a barium swallow as contrast medium. Gastroscopy (Choice D) is the direct visualization of the stomach.
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