A nurse is assessing a client who received IV conscious sedation for a colonoscopy. Which of the following findings indicated that the client is ready for discharge?
The client is restless.
The client shows a brisk response to stimulus.
The client shows a sluggish response to stimulus.
The client is cooperative and oriented.
The Correct Answer is D
A. Restlessness may indicate incomplete recovery or inadequate sedation reversal.
B. A brisk response to stimulus suggests the client is still in a mildly sedated state and not fully recovered.
C. A sluggish response to stimulus also indicates the client is not yet fully alert and oriented.
D. The client being cooperative and oriented is an indication of full consciousness and recovery from sedation, meeting discharge criteria.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A comminuted fracture is characterized by the bone being splintered or crushed into multiple fragments, as seen in this client’s x-ray.
B. A transverse fracture is a straight horizontal break across the bone.
C. An impacted fracture occurs when bone fragments are driven into each other.
D. An oblique fracture has a diagonal break across the bone but does not involve multiple splinters.
Correct Answer is D
Explanation
A. A protective environment is not necessary; Clostridium difficile requires contact precautions.
B. Alcohol-based hand sanitizers are ineffective against Clostridium difficile spores; handwashing with soap and water is essential.
C. Wearing a mask is not necessary as C. difficile is transmitted through spores that survive on surfaces.
D. Disinfecting equipment daily helps reduce the risk of C. difficile spore transmission within the environment.
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