A nurse is caring for a client who is receiving propofol for an outpatient colonoscopy. Which of the following is a priority for the nurse to monitor?
Temperature
Blood pressure
Pain level
Respiratory rate
The Correct Answer is D
A. Temperature: Propofol does not typically affect body temperature in the short term during outpatient procedures, so monitoring temperature is not the immediate priority.
B. Blood pressure: Propofol can cause hypotension, so blood pressure monitoring is important, but it is secondary to assessing airway and breathing because respiratory depression can be life-threatening.
C. Pain level: Propofol provides sedation and amnesia but not analgesia. Pain assessment is relevant post-procedure, but during administration, airway and breathing take precedence.
D. Respiratory rate: Propofol can cause significant respiratory depression, including apnea. Continuous monitoring of respiratory rate and oxygenation is the priority to detect and respond to life-threatening airway compromise immediately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Be sure to sit when you urinate and double flush the toilet with the lid closed.": This instruction relates to precautions for clients taking medications that can be excreted in urine, such as certain chemotherapeutic agents, and is not relevant to methimazole therapy.
B. "Take precautions in crowds to avoid people who are ill.": Methimazole can cause agranulocytosis, leading to a decreased ability to fight infections. Clients should be advised to avoid large crowds and report symptoms like fever or sore throat promptly.
C. "It is important that you avoid contact with young children and pregnant people.": Methimazole does not require strict avoidance of these populations under normal circumstances, so this is not standard discharge teaching.
D. "Refrain from returning to work for the first few days of therapy.": Routine work restrictions are not necessary when starting methimazole unless the client experiences adverse effects such as severe fatigue or infection.
Correct Answer is D
Explanation
A. The nurse writes the client's discharge medications on a medication card: Writing a medication card is a manual method of providing information and does not involve information technology.
B. The nurse has the client repeat their discharge instructions: Having the client repeat instructions is a teaching strategy to assess understanding, but it does not utilize information technology.
C. The nurse provides the client with a brochure about their new medication: Providing a printed brochure is a traditional educational method and does not incorporate digital technology or online resources.
D. The nurse provides the client with a list of websites that provide information about their new medication: Directing the client to reputable online resources leverages information technology, allowing access to digital education tools and up-to-date medication information.
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