The health care provider (HCP) orders a small bowel follow-through (SBFT) for a client. Which instructions should the nurse include when teaching the client about this test?

Question

The health care provider (HCP) orders a small bowel follow-through (SBFT) for a client.  Which instructions should the nurse include when teaching the client about this test?

Quizplus · Accepted Answer

An SBFT examines the anatomy and function of the small intestine using x-ray images taken in succession. Barium is ingested, and x-ray images are taken every 15-60 minutes to visualize the barium as it passes through the small intestine (Option B). Using this technique, decreased motility (eg, ileus), increased motility (eg, malabsorption syndromes), fistulas, or obstructions are identified. Clients should be instructed as follows: Fast 8 hours prior to the examination. The test usually takes 60-120 minutes, but if obstruction or decreased motility is present, it can take longer. Drink plenty of fluids after the examination to facilitate barium removal. Chalky stools may be present 24-72 hours after the examination. If brown stools do not return after 72 hours or abdominal pain or fullness is present, contact the HCP. (Option A) Black, tarry stools (melena) are not an expected symptom of an SBFT; melena is indicative of gastrointestinal bleeding and should be reported immediately to an HCP. (Option C) An endoscope is not used to complete an SBFT. (Option D) Clients should refrain from eating 8 hours prior to the examination. Polyethylene glycol (Nu-LYTELY) is prescribed as a bowel preparation for a colonoscopy, not an SBFT. Educational objective: An SBFT uses sequential x-ray images to visualize the structure and function of the small intestine. The client should fast for 8 hours prior to the examination. Stools may be chalky for up to 72 hours. Black, tarry stools indicate a potential gastrointestinal bleed and should be reported immediately.

The Health Care Provider (HCP) Orders a Small Bowel Follow-Through