NCLEX-PN® ExaminationReduction of Risk PotentialEasy
A client is scheduled for a barium swallow study. Which instruction should the LPN provide regarding post-procedure care?
- AIncrease fluid intake to help eliminate the barium.
- BRestrict solid food intake for the remainder of the day.
- CResume all regular medications immediately.
- DExpect bright red stools for the next 24 hours.
Show answer & explanationAnswer & explanation
Correct answer: A. Increase fluid intake to help eliminate the barium.
After a barium swallow, clients should increase their fluid intake to help flush the barium contrast medium through the digestive system and prevent constipation or impaction. Barium can cause stools to be white or light-colored.
Why the other options are wrong
- B. There is usually no restriction on solid food intake post-procedure unless otherwise specified by the provider.
- C. Some medications, especially those that can be affected by barium or cause constipation, may need to be resumed with caution or delayed based on provider orders.
- D. Bright red stools are not expected; barium causes stools to be white or light-colored. Bright red stools would indicate bleeding.
Barium Swallow Post-Care
Nursing care and client education following a barium swallow study to facilitate barium excretion and monitor for complications.
- Barium can cause constipation and impaction
- Increased fluid intake is essential to excrete barium
- Stools will be white or light-colored for 24-72 hours
- Monitor for abdominal pain, distention, or absence of stool
Memory trick: Barium Out: Drink and Poo White!