A nurse is caring for a 14-year-old girl scheduled for a barium ...

[CORALGRILL2014]

A nurse is caring for a 14-year-old girl scheduled for a barium swallow/upper gastrointestinal (GI) series. Before providing instructions, which of the following would be the priority?
 
  A) Screening the girl for pregnancy
  B) Reminding her to drink plenty of fluids after the procedure
  C) Ordering a bowel prep
  D) Reminding the girl about potential light-colored stools

Question 2

The nurse is caring for an infant with a temporary ileostomy. As part of the plan of care, the nurse monitors for skin breakdown around the stoma.
 
  If redness occurs, which of the following would be most appropriate to promote healing and prevent further skin breakdown? A) Clean the area well with a scented diaper wipe.
  B) Apply a barrier/healing cream or paste on the skin.
  C) Use a barrier wafer (such as Stomahesive) to attach the appliance.
  D) Sanitize the area with an alcohol wipe after each diaper change.

[Shshxj]

Answer to Question 1

A
Feedback:
Females of reproductive age must be screened for pregnancy prior to the test because radiography is used. A bowel prep is not necessary for a barium swallow/upper GI series. The reminders about fluids and light-colored stools are appropriate but are not the first priority.

Answer to Question 2

B
Feedback:
The nurse should use a barrier/healing cream or paste on the skin around the stoma to promote healing and prevent further skin breakdown. Diaper wipes that contain fragrance or alcohol can sting if used on nonintact skin and can worsen skin breakdown. The barrier wafer would be helpful, but does not address the skin breakdown.

[CORALGRILL2014]

TYSM

[upturnedfurball]

Excellent