Author Question: A client is scheduled for diagnostic tests to determine the ability to swallow. Which of the ... (Read 33 times)

neverstopbelieb · **on:** Jun 25, 2018

A client is scheduled for diagnostic tests to determine the ability to swallow. Which of the following diagnostic tests will provide the best information regarding this client's status?

1. Pulse oximetry with water
2. Esophageal transit scintigraphy
3. Videofluoroscopy
4. Esophageal manometry

Question 2

Which of the following should the nurse instruct a client who is recovering from a thyroid biopsy as an outpatient?

1. Notify the physician of any problems with breathing after the procedure.
2. Go to the emergency room with any signs of a sore throat after the procedure.
3. Expect to be admitted to the hospital if the surgeon decides to remove the thyroid after the biopsy.
4. Perform no special preparations for the test.

nhea · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

3
The gold standard for evaluation of dysphagia is videofluoroscopy or a modified barium swallow. This test demonstrates the swallowing mechanism. The other tests may be prescribed; however, they do not provide as much information as the videofluoroscopy.

Answer to Question 2

1
The possibility of hematoma formation and edema post-procedure are the major complications that may present as respiratory difficulty. The client should be instructed to notify the physician of any problems with breathing after the procedure. A sore throat after a thyroid biopsy is a common experience, and the client does not need to go to the emergency room. The surgeon will not remove the thyroid gland during the same time as the biopsy. There are special preparations for the test, depending upon the level of anesthesia the client will receive.