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","C","E"]

Explanation

Rationale for Correct Choices:

Increase sources of fiber in the diet: Iron supplements, particularly ferrous sulfate, commonly cause constipation. Increasing dietary fiber through fruits, vegetables, and whole grains helps promote bowel regularity and prevent this common side effect.
Take the medication on an empty stomach: Iron is best absorbed in an acidic environment, and taking it on an empty stomach enhances its bioavailability. However, if gastrointestinal upset occurs, it may be taken with a small amount of food, but not with calcium-rich foods.
Take the medication with a source of vitamin C: Vitamin C (ascorbic acid) enhances the absorption of non-heme iron. Consuming iron with a vitamin C-rich beverage or food, like orange juice, increases iron uptake and supports effective treatment of iron deficiency anemia.

Rationale for Incorrect Choices:

Take an antacid within 30 min after medication administration: Antacids reduce stomach acidity, which impairs iron absorption. Iron requires an acidic environment to be absorbed effectively, so antacids should be avoided within 1–2 hours of iron administration.
Increase intake of milk and dairy products: Calcium in dairy products can bind to iron and inhibit its absorption. Iron should not be taken with milk or calcium-rich foods to ensure optimal effectiveness of the supplement.

A. Calcium 9.6 mg/dL (9 to 10.5 mg/dL) B. Glucose 96 (74 to 106 mg/dL) C. Potassium 4.3 mEq/L (3.5 to 5 mEq/L) D. Sodium 142 mEq/L (136 to 145 mEq/L)

Correct Answer is A

Explanation

A. Calcium 9.6 mg/dL (9 to 10.5 mg/dL): Treatment involves calcium and vitamin D supplementation to restore normal calcium levels. A calcium level of 9.6 mg/dL is within the normal range, indicating that the treatment is effective in correcting the calcium deficiency.

B. Glucose 96 mg/dL (74 to 106 mg/dL): Blood glucose is not directly related to the management of hypoparathyroidism. The glucose level being within normal range does not provide information about the effectiveness of treatment for hypoparathyroidism.

C. Potassium 4.3 mEq/L (3.5 to 5 mEq/L): Potassium levels are not directly affected by hypoparathyroidism. This value is within the normal range but does not indicate the effectiveness of treatment for hypoparathyroidism specifically.

D. Sodium 142 mEq/L (136 to 145 mEq/L): Sodium levels are not typically influenced by hypoparathyroidism or its treatment. This value is within normal range but does not indicate the effectiveness of treatment for hypoparathyroidism.

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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?

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