A nurse is assisting with the plan of care for a client who had an upper endoscopy 1 hr ago. The nurse should place the priority on monitoring which of the following?

Sore throat

Abdominal bloating

Gag reflex

Belching

Answer and Explanation

The Correct Answer is C

Choice A rationale
While a sore throat can be a side effect of an upper endoscopy, it is not the priority for monitoring after the procedure.
Choice B rationale
Abdominal bloating can occur after an upper endoscopy, but it is not the priority for monitoring.
Choice C rationale
Monitoring the return of the gag reflex is a priority after an upper endoscopy. The gag reflex may be impaired due to the use of local anesthetics during the procedure. An impaired gag reflex increases the risk of aspiration.
Choice D rationale
Belching can occur after an upper endoscopy, but it is not the priority for monitoring

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Correct Answer is C

Explanation

Choice A rationale
Valerian is a herb that is commonly used for sleep disorders and anxiety. It is not typically used to treat diarrhea, irritable bowel syndrome (IBS), or ulcerative colitis.
Choice B rationale
Garlic is known for its antibacterial, antiviral, and antifungal properties. However, it is not commonly used to treat diarrhea, IBS, or ulcerative colitis.
Choice C rationale
Probiotics are live bacteria and yeasts that are good for your health, especially your digestive system. They are often used to treat problems in the stomach and intestines, including IBS and certain types of diarrhea.
Choice D rationale
Ginger root is commonly used to treat various types of stomach problems, including motion sickness, morning sickness, colic, upset stomach, gas, and more. However, it is not typically used to treat diarrhea, IBS, or ulcerative colitis.

A. Monitor peripheral pulses every 8 hours B. Measure urine output every 4 hours C. Maintain NPO status D. Ambulate the patient three times daily

Correct Answer is C

Explanation

Choice A rationale
Monitoring peripheral pulses every 8 hours is not typically a priority in the care plan for a patient with acute pancreatitis. While cardiovascular monitoring is important in all patients, it is not specifically related to the management of acute pancreatitis.
Choice B rationale
Measuring urine output every 4 hours can be important in assessing fluid balance and kidney function, but it is not the primary intervention in the care plan for a patient with acute pancreatitis.
Choice C rationale
Maintaining NPO (nothing by mouth) status is a key intervention in the management of acute pancreatitis. This helps to rest the pancreas and reduce the production of digestive enzymes.
Choice D rationale
Ambulating the patient three times daily is generally a good practice for postoperative recovery, but it is not specific to the care of a patient with acute pancreatitis. In the acute phase of pancreatitis, rest is often recommended.

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A nurse is assisting with the plan of care for a client who had an upper endoscopy 1 hr ago. The nurse should place the priority on monitoring which of the following?

Nursing Test Bank

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