A nurse is monitoring a client who recently had an esophagogastroduodenoscopy procedure. Which of the following findings should the nurse Identify as an indication that the client is recovering after the procedure as expected?

Temperature 38.7° C (101.7° F)

Heart rate 110/min

Respiratory rate 14/min

Spo2 92%

Answer and Explanation

The Correct Answer is C

A. Temperature 38.7° C (101.7° F): A temperature of 38.7° C (101.7° F) is elevated and may indicate an infection or inflammation, which is not expected after an EGD. A mild fever could occur briefly, but temperatures above 100.4° F should be monitored closely.

B. Heart rate 110/min: A heart rate of 110/min is elevated and may suggest tachycardia due to pain, anxiety, or potential complications. An elevated heart rate should be assessed further, as it is not typical during the recovery phase of an EGD procedure.

C. Respiratory rate 14/min: A respiratory rate of 14/min is within the normal range for an adult (12-20/min), indicating that the client is breathing comfortably and is recovering well from the procedure. This is an expected finding post-procedure.

D. SpO2 92%: An SpO2 level of 92% is slightly low. The normal range for oxygen saturation is typically 95-100%, and a reading of 92% may indicate mild hypoxemia, which should be further evaluated, especially if the client is recovering from sedation.

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Correct Answer is B

Explanation

A. Increased sexual desire: Menopause typically leads to a decrease in sexual desire due to the reduction in estrogen levels. This hormonal shift can cause physical changes such as vaginal dryness and discomfort, further impacting libido.
B. Decreased bone density: Estrogen plays a crucial role in maintaining bone density, and its decline during menopause accelerates bone resorption. This results in decreased bone mass and an increased risk of osteoporosis and fractures.
C. Decreased sweating: Hot flashes, characterized by sudden increases in body temperature followed by sweating, are a hallmark symptom of menopause. These occur due to changes in the hypothalamus's regulation of temperature, often triggered by fluctuating estrogen levels.
D. Increased vaginal secretions: As estrogen levels decrease during menopause, vaginal tissues become thinner and less lubricated. This often results in vaginal dryness and discomfort, which can cause pain during intercourse and increase the risk of infections.

A. Fatigue B. Ferritin level C. Vitamin B12 level D. Orthostatic hypotension

Correct Answer is {"A":{"answers":"A,B,C"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A,B,C"}}

Explanation

Fatigue: Fatigue is a universal symptom in all three conditions due to reduced oxygen-carrying capacity of the blood. This results from low hemoglobin levels or dysfunctional red blood cells, leading to tissue hypoxia and generalized weakness.
Ferritin level: Ferritin reflects stored iron. A low ferritin level is a hallmark of iron deficiency anemia, indicating depleted iron stores. Sickle cell disease and pernicious anemia do not typically cause low ferritin unless there is coexisting iron deficiency from blood loss or poor intake.
Vitamin B12 level: A low vitamin B12 level directly supports a diagnosis of pernicious anemia, which results from impaired B12 absorption due to lack of intrinsic factor. This finding is not characteristic of iron deficiency anemia or sickle cell disease.
Orthostatic hypotension: This may occur in all three conditions due to decreased blood volume or impaired oxygenation. In iron deficiency and pernicious anemia, low hemoglobin reduces circulating oxygen, while in sickle cell disease, dehydration and anemia can contribute to drops in blood pressure when changing positions.

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A nurse is monitoring a client who recently had an esophagogastroduodenoscopy procedure. Which of the following findings should the nurse Identify as an indication that the client is recovering after the procedure as expected?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about the manifestations of menopause. Which of the following findings should the nurse include?

Correct Answer is B

Explanation

A nurse in a provider's office is caring for a client. Exhibits For each client's finding, click to specify if the assessment finding is consistent with sickle cell disease, iron deficiency anemia, and/or pernicious anemia. Each finding may support more than 1 disease process.

Correct Answer is {"A":{"answers":"A,B,C"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A,B,C"}}

Explanation

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