A client who is fully awake after a gastroscopy asks the nurse for something to drink.
After confirming that liquids are allowed, which assessment action should the nurse consider a priority before offering oral intake?
Provide thickened fluids with a straw.
Listen to bilateral lung and bowel sounds.
Check the client's Hypoglossal nerve and Vestibulocochlear cranial nerve function.
Check the client's Glossopharyngeal nerve and Vagus cranial nerve function.
The Correct Answer is D
Choice A rationale: Providing thickened fluids with a straw is more related to swallowing difficulties and is not the priority in this context.
Choice B rationale: While assessing lung and bowel sounds is important, it's not directly related to offering oral intake after a gastroscopy.
Choice C rationale: Assessing the Hypoglossal nerve and Vestibulocochlear cranial nerve function isn't directly related to offering oral intake post-gastroscopy.
Choice D rationale: Checking the client's Glossopharyngeal nerve and Vagus cranial nerve function is crucial as these nerves play roles in swallowing, taste, and the gag reflex, which are important before allowing oral intake post-gastroscopy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Typically associated with potassium depletion rather than elevated levels.
Choice B rationale: Furosemide, a loop diuretic, can cause potassium depletion leading to hypokalemia, but it might also cause transient elevations in potassium levels initially. Choice C rationale: Addison disease can cause hyperkalemia, or high potassium, due to decreased renal excretion of potassium and increased retention of sodium and water.
Choice D rationale: Cushing disease can cause hypokalemia, or low potassium, due to increased renal excretion of potassium and decreased reabsorption of sodium and water.
Correct Answer is D
Explanation
Choice A rationale: Fluoxymesterone is a synthetic forms of testosterone that can worsen BPH by increasing the level of DHT.
Choice B rationale: Danazol is a synthetic forms of testosterone that can worsen BPH by increasing the level of DHT.
Choice C rationale: Methyltestosterone is a synthetic forms of testosterone that can worsen BPH by increasing the level of DHT.
Choice D rationale: Finasteride is a medication that inhibits the conversion of testosterone to dihydrotestosterone (DHT), which is a hormone that stimulates the growth of the prostate gland. By reducing the level of DHT, finasteride can shrink the enlarged prostate and improve urinary symptoms in men with benign prostatic hyperplasia (BPH). The other choices are not appropriate for BPH.
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