A nurse is educating a client about a colonoscopy. Which of the following statements made by the client indicates an understanding of the aching?
"I will need to wait until the day after the procedure to drive"
The doctor will discuss the discharge instructions with me after the procedure."
"I will be on a ventilator during the procedure."
can't eat or drink for 6 hours after the procedure
The Correct Answer is B
A. Clients usually recover quickly from sedation and can often drive the next day, but this is not a key understanding about the procedure itself.
B. The doctor discussing discharge instructions after the procedure shows understanding that the client will receive post-procedure care information once awake and stable.
C. A colonoscopy does not require mechanical ventilation; sedation is usually moderate or conscious.
D. Fasting is typically required before the procedure, not after.
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Related Questions
Correct Answer is ["C","D"]
Explanation
A. Capillary refill: Normal (<3 seconds). Not an emergency and does not require immediate follow-up.
B. Blood pressure: Stable: 98/64 → 104/70 mm Hg. No signs of shock or hemodynamic instability.
C. Potassium: K+ 7.1 mEq/L is critical, life-threatening hyperkalemia. This level can quickly progress to ventricular fibrillation or asystole. Requires immediate emergency treatment, such as IV calcium gluconate (stabilizes cardiac membrane), IV regular insulin + dextrose, and Kayexalate, diuretics (if appropriate), or dialysis
D. ECG: ECG shows peaked T waves and widened QRS, which are hallmark signs of impending lethal arrhythmia from hyperkalemia. Worsening QRS widening can lead to ventricular tachycardia which can progress to ventricular fibrillation and cardiac arrest. Requires urgent intervention immediately.
E. Oxygen saturation: Normal at 97% on room air. No respiratory distress.
F. Breath sounds: Clear bilaterally. No evidence of pulmonary compromise. Not a priority compared to life-threatening hyperkalemia.
Correct Answer is B
Explanation
A. Increased urine output is not typical; DIC can cause decreased kidney perfusion leading to low urine output.
B. Petechiae are small pinpoint hemorrhages caused by the widespread clotting and consumption of platelets in DIC, making this an expected finding.
C. Bradycardia is not specifically associated with DIC.
D. Decreased respirations are not a direct manifestation of DIC.
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