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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 B

Explanation

A. Lifelong heparin usage is not the standard treatment for DIC, as treatment focuses on addressing the underlying cause and managing symptoms.

B. DIC is a condition characterized by abnormal, excessive coagulation involving the use of clotting factors, particularly fibrinogen, leading to widespread clotting and bleeding.

C. DIC is not a genetic disorder or directly related to vitamin K deficiency.

D. DIC typically leads to a decreased platelet count due to consumption of platelets in widespread clotting, not an elevated count.

A. Mottled skin B. Hypokalemia C. Heart rate 160/min D. Blood pressure 115/68 mmHg

Correct Answer is D

Explanation

A. Obtaining a dietary history is relevant for ongoing management but is not the initial priority.

B. Reviewing electrolyte values is essential because exacerbations of ulcerative colitis can lead to severe fluid and electrolyte imbalances, which need prompt correction.

C. Investigating emotional concerns is important but does not take precedence over addressing potential electrolyte imbalances that can be life-threatening.

D. Checking perianal skin integrity is relevant for comfort but is not the priority in stabilizing the client during an acute exacerbation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Á nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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