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 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.
Correct Answer is C
Explanation
A. A 30° angle is too low and may increase the risk of aspiration; a 90° sitting position is preferred for safe swallowing.
B. Coughing while swallowing is not recommended as it may increase the risk of choking.
C. Tilting the head forward while swallowing helps to close the airway and reduce the risk of aspiration, which is crucial in dysphagia management.
D. Food should be placed on the stronger side to improve control and reduce aspiration risk.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.