You are working in an outpatient gastroenterology clinic when, during an elective colonoscopy, after hearing anesthesia say that they "lost track of how much Fentanyl was given," a patient requires frequent, vigorous stimulation in order to respond. You quickly realize that this patient is grossly over-sedated. A patient in this state is said to be:

Lethargic

Stuporous

Obtunded

Comatose

Answer and Explanation

The Correct Answer is D

Choice A reason: Lethargy implies a state of sluggishness, drowsiness, or fatigue, not the inability to respond to stimuli.

Choice B reason: Stupor refers to a state of near-unconsciousness or insensibility, but the patient may respond to vigorous stimulation.

Choice C reason: Obtundation describes a state of consciousness characterized by a reduced alertness and a slow response to stimuli, but not complete unresponsiveness.

Choice D reason: Comatose is the correct term for a state of deep unconsciousness in which a patient cannot be aroused, fitting the description of the patient's condition.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason: Stopping the transfusion immediately is the first and most critical action in response to signs of a possible transfusion reaction, which can be life-threatening.

Choice B reason: While informing the provider is a necessary step, it should come after stopping the transfusion to prevent further harm to the patient.

Choice C reason: Calling the lab is an appropriate action but not the first priority. The immediate concern is the patient's safety.

Choice D reason: Obtaining a urine specimen may be part of the diagnostic process for a transfusion reaction, but it is not the first action to take.

A. Ask about numbness or tingling of the hands and arms. B. Suggest the patient alternate use of heat and cold to the neck. C. Provide information about therapeutic neck exercises. D. Teach about the use of nonsteroidal anti-inﬂammatory drugs (NSAIDs).

Correct Answer is A

Explanation

Choice A reason: Asking about numbness or tingling is important to rule out neurological issues that could be causing the neck pain.

Choice B reason: While heat and cold therapy may provide relief, it is not the first action to take before assessing the cause of the pain.

Choice C reason: Providing information about exercises is helpful but should come after an initial assessment.

Choice D reason: Teaching about NSAIDs is part of pain management but should follow an assessment of symptoms and potential causes.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is receiving one unit of packed RBCs to treat intraoperative blood loss. The client reports chills and back pain, and the client's blood pressure is 80/64 mm Hg. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

Which action should the nurse take first when a patient is seen in the outpatient clinic with neck pain?

Correct Answer is A

Explanation

A nurse is providing an educational session to colleagues on the unit regarding COPD. Which of the following options would the nurse provide regarding the associated risks of COPD?

What diagnostic test can be used to determine GFR as well as glomerular damage?

Which information should the nurse include in the teaching plan for a patient diagnosed with basal cell carcinoma (BCC)?

You are caring for a patient and suspect that he is at risk for acute kidney injury. Given your knowledge about the renal system, what would be the acceptable urine output (in mL per hour) for this patient if he weighed 363 pounds? (Round to the nearest whole number.

Which of the following indicate to the nurse that lactulose is eﬀective for an older adult who has advanced liver cirrhosis?

A nurse observes reddish-purple spots and areas of purple bruising on a newly admited patient. Which laboratory results support this assessment finding?

A nurse is caring for a client who has cirrhosis of the liver and is having difficulty eliminating alcohol consumption because many of their friends drink alcohol socially. Which of the following steps should the nurse include to motivate the client to change?

A recommended position for a patient in acute pulmonary edema is: