ARRT Patient Care Practice Exam

The following instructions should be given to a patient following a barium sulfate contrast examination:

1. increase fluid intake for several days

2. changes in stool color will occur until all barium has been evacuated

3. contact a physician if no bowel movement occurs in 24 hours

4. 1 and 3 only

The correct answer is: 1 and 3 only

After a barium sulfate contrast examination, it is essential for the patient to understand the appropriate aftercare to ensure their well-being. Increasing fluid intake for several days after the procedure is important because barium sulfate can cause constipation. The additional fluids help to facilitate the movement of the contrast material through the digestive tract and can help to prevent any complications related to bowel obstruction or discomfort. Regarding the recommendation to contact a physician if no bowel movement occurs in 24 hours, this advice is crucial. Barium can harden in the intestines, and if a patient does not have a bowel movement within a day after the procedure, it may indicate an issue that requires medical attention, such as a potential blockage. While changes in stool color may occur due to the barium contrast, the emphasis of post-examination instructions should focus on hydration and monitoring bowel movements, which are more critical for patient safety and care. Hence, providing instructions related to fluid intake and the need to consult with a healthcare provider if bowel movements are not occurring aligns with best practices following a barium sulfate examination.