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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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Widening pulse pressure is more indicative of increased intracranial pressure or septic shock, not hypovolemic shock.

B. Deep tendon reflexes are typically not increased in hypovolemic shock.

C. Increased heart rate is a compensatory response to hypovolemic shock as the body attempts to maintain cardiac output.

D. A pulse oximetry reading of 96% would not typically indicate hypovolemic shock; decreased oxygen saturation is more consistent with hypoxia.

A. Platelet count B. Hemoglobin C. International normalized ration D. Atrial fibrillation E. Red blood cell count

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"D"},"E":{"answers":"A"}}

Explanation

Platelet count: Low platelets (135,000/mm³) increase bleeding risk as they are essential for clot formation.

Hemoglobin: A hemoglobin level within the low normal range could increase the risk of hypoxemia, particularly in the perioperative period when oxygen demand may be higher.

INR: Elevated INR (1.5) indicates increased bleeding risk due to prolonged clotting time.

Atrial fibrillation: Increases the risk of DVT due to irregular heart rhythms, which can lead to blood pooling and clot formation.

RBC count: A low RBC count contributes to the risk of hypoxemia as there are fewer red blood cells available to transport oxygen.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm. Which of the following manifestations should the nurse expect?

Correct Answer is C

Explanation

A nurse is caring for a client in the preoperative holding area. Exhibits For each preoperative assessment finding, click to specify if the assessment finding places the client at risk for hypoxemia, bleeding, or a DVT in the intra- op or post-op phases.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"D"},"E":{"answers":"A"}}

Explanation

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