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 A

Explanation

A. "Drink 4 to 6 ounces of juice.": Drinking 4 to 6 ounces of juice, which contains carbohydrates, will quickly raise blood glucose levels. This amount is sufficient to correct mild hypoglycemia.
B. "Consume two glucose tablets and check your blood glucose 1 hour later.": After consuming glucose tablets, the client should check their blood glucose in about 15 minutes, not 1 hour. If blood glucose is still low, more glucose should be consumed sooner.
C. "Consume 1 teaspoon of corn syrup-based glucose gel.": One teaspoon of glucose gel is not enough to treat hypoglycemia. A typical recommendation would be 15-20 grams of fast-acting carbohydrates (e.g., glucose tablets or juice), which is more than 1 teaspoon of gel.
D. "Eat two crackers with peanut butter.": This combination is not ideal for treating hypoglycemia quickly. The protein in peanut butter will slow the absorption of glucose, which delays the correction of hypoglycemia. Fast-acting carbohydrates are preferred for rapid treatment.

A. Hgb 11.5 g/dL (12 to 16 g/dL) B. Creatinine 3.2 mg/dL (0.5 to 1.1 mg/dL) C. Sodium 146 mEq/L (136 to 145 mEq/L) D. WBC count 12,000/mm3 (5,000 to 10,000/mm3)

Correct Answer is B

Explanation

A. Hgb 11.5 g/dL (12 to 16 g/dL): While this hemoglobin level is slightly below normal, it is not an immediate priority compared to other more concerning values. Anemia could be addressed later with appropriate interventions but is not life-threatening in this case.

B. Creatinine 3.2 mg/dL (0.5 to 1.1 mg/dL): A creatinine level of 3.2 mg/dL is significantly elevated and indicates possible kidney dysfunction or acute kidney injury. Gentamicin is known to be nephrotoxic, and this level requires prompt attention to prevent further renal damage.

C. Sodium 146 mEq/L (136 to 145 mEq/L): Sodium levels are only slightly elevated and do not represent an immediate concern unless the client has symptoms of hypernatremia (e.g., confusion, seizures). While monitoring is required, it is not as urgent as the creatinine.

D. WBC count 12,000/mm3 (5,000 to 10,000/mm3): A WBC count of 12,000/mm3 is mildly elevated, which could suggest an infection or inflammation. However, this is not the priority compared to the kidney function, which could be compromised by gentamicin therapy.

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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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