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A nurse is teaching a client with Barrett's esophagus who is scheduled to
undergo an esophagogastroduodenoscopy (EGD). Which of the following
statements should the nurse include in the teaching?
A.
"This procedure is performed to measure the presence of acid in your
esophagus."
B.
"This procedure can determine how well the lower part of your esophagus
works."
C.
"This procedure is performed while you are under general anesthesia."
D.
,"This procedure can determine if you have colon cancer." - ANSWER-Correct
Answer: B.
"This procedure can determine how well the lower part of your esophagus
works."
An EGD is useful in determining the function of the esophageal lining and the
extent of inflammation, potential scarring, and strictures.
Incorrect Answers:A. A pH probe study, which involves the insertion of a
specially designed probe into the distal esophagus, is performed to monitor
for the presence of acid in the normally alkaline esophagus.
C. An EGD is performed while the client receives moderate sedation.
D. A colonoscopy is performed to detect colon cancer.
,A nurse is caring for a client who has acute pancreatitis. Which of the
following serum laboratory values should return to the expected reference
range within 72 hr of treatment beginning?
A.
Aldolase
B.
Lipase
C.
Amylase
D.
Lactic dehydrogenase - ANSWER-Correct Answer: C.
Amylase
Pancreatitis is the most common diagnosis for marked elevations in serum
amylase. Serum amylase begins to increase about 3 to 6 hours following the
, onset of acute pancreatitis. The amylase level peaks in 20 to 30 hours and
returns to the expected reference range within 2 to 3 days.
Incorrect Answers:A. Elevated aldolase levels are caused by inflammation of
the muscles, also known as myositis. Aldolase levels are not affected by
pancreatic disorders.
B. Lipase levels in clients who have pancreatitis increase after a rise in serum
amylase and stay elevated for up to 14 days longer than amylase levels.
D. Lactic dehydrogenase (LDH) increases are typically seen in clients who
have anemia, leukemia, or liver damage.
A nurse is assessing a client who has a bleeding duodenal ulcer. Which of the
following findings should the nurse expect?
A.
Emesis with a coffee-ground appearance
B.