Question

1. A patient in a nursing home complains to her nurse that she is not feeling well. When asked to describe how she feels, the patient states that she really is not hungry anymore and seems to have indigestion a lot. The nurse checks the patient’s chart and finds that her vital signs are normal, but that she has lost weight over the past 2 months. She also notes that there is a history of gastric cancer in the patient’s family. The nurse notifies that physician and expects to receive what orders?

1. Schedule a barium x-ray and an endoscopy
2. Perform a pap smear on the patient’s gastric secretions
3. Order cytologic studies to be done during the endoscopy
4. Schedule a lower gastrointestinal study
5. A & C

Answer 1

Pap smear test is test to detect cervical cancer

Lower gastrointestinal studies are studies regarding the lower gastrointestinal organs such as large intestine and anus.

The physician may order barium enema and endoscopy along with cytologic studies to understand the pathology of upper GI tract and cell biology.

The answer is a and c

a.Schedule a barium x- ray and an endoscopy

c. Order cytological studies to be done during the endoscopy.