a client is scheduled for oral cholecystography which one of the following actions would the nurse plan to implement before the test

ATI RN

ATI Gastrointestinal System

1. A client is scheduled for oral cholecystography. Which one of the following actions would the nurse plan to implement before the test?

A. Have the client drink 1000 mL of water.
B. Ask the client about possible allergies to iodine or shellfish.
C. Administer an intravenous contrast agent the evening before the test.
D. Administer tap-water enemas until clear.

Correct answer: B

Rationale: Iodine compounds used as radiographic contrast agents, such as iopanoic acid (Telepaque), should not be administered to the client with iodine and seafood allergies because anaphylaxis may occur.

2. Which of the following tests can be used to diagnose ulcers?

A. Abdominal x-ray
B. Barium swallow
C. Computed tomography (CT) scan
D. Esophagogastroduodenoscopy (EGD)

Correct answer: D

Rationale: Esophagogastroduodenoscopy (EGD) is a diagnostic test that involves visualizing the esophagus, stomach, and duodenum to diagnose ulcers.

3. The nurse is caring for a client with chronic gastritis. The nurse monitors the client, knowing that this client is at risk for which of the following vitamin deficiencies?

A. Vitamin A
B. Vitamin B12
C. Vitamin C
D. Vitamin E

Correct answer: B

Rationale: Clients with chronic gastritis are at risk for Vitamin B12 deficiency due to impaired absorption.

4. What information is correct about stomach cancer?

A. Stomach pain is often a late symptom.
B. Surgery is often a successful treatment.
C. Chemotherapy and radiation are often successful treatments.
D. The patient can survive for an extended time with TPN.

Correct answer: A

Rationale: Stomach pain is often a late symptom of stomach cancer.

5. A female client complains of gnawing epigastric pain for a few hours after meals. At times, when the pain is severe, vomiting occurs. Specific tests are indicated to rule out:

A. Cancer of the stomach
B. Peptic ulcer disease
C. Chronic gastritis
D. Pylorospasm

Correct answer: A

Rationale: Specific tests are indicated to rule out cancer of the stomach when a client complains of gnawing epigastric pain and vomiting after meals.