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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale: This is not the accurate amount of fluid intake by the patient.

Choice B rationale: This is less than the total fluid intake by the patient.

Choice C rationale: This is less than the total fluid intake by the patient.

Choice D rationale: This is correct.( This is the sum of the intravenous fluid, the water, and the chicken broth, converted to milliliters: 650 + (6 x 30) + (8 x 30) = 1070.)

A. "If I develop confusion with this medication, I should call 911." B. "I should limit the amount of fluids that I drink after 5:00 PM." C. "I will need to weigh myself at the same time every day." D. "I should put both doses of the desmopressin in one nostril." E. "I need to keep a log of my fluid intake and urine output." F. "I may need an additional dose if I keep urinating a lot."

Correct Answer is ["A","C","E"]

Explanation

Choice A rationale: Correct. The statement is accurate because developing confusion could be a sign of a serious condition like severe electrolyte imbalance or dehydration, requiring immediate medical attention.

Choice B rationale: Incorrect. Fluid intake should not be arbitrarily limited without medical advice, especially for a client with diabetes insipidus. Maintaining a consistent fluid intake is crucial, and any changes should be guided by a healthcare provider.

Choice C rationale: Correct. Weighing oneself at the same time every day is a good practice for monitoring fluid balance and identifying sudden changes that may indicate a problem.

Choice D rationale: Incorrect. Desmopressin doses should be administered as prescribed. The medication's administration should be consistent with the healthcare provider's instructions or the medication guide, not arbitrarily altered.

Choice E rationale: Correct. Keeping a log of fluid intake and urine output is important for managing diabetes insipidus effectively and allows for informed adjustments in fluid intake or medication dosage.

Choice F rationale: Incorrect. Adjusting medication dosage without consulting a healthcare provider is not safe. While increased urination is a symptom of diabetes insipidus, the client should consult their healthcare provider if their symptoms persist or worsen, rather than self-adjusting the medication dose.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

The home health nurse visits a client with chronic diabetes insipidus: Exhibits Which three (4) client statements would indicate a correct understanding of the teaching?

Correct Answer is ["A","C","E"]

Explanation

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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?