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 ["C","D","E"]

Explanation

Choice A rationale: Small bowel obstructions typically present with diffuse, crampy abdominal pain rather than localized pain in the right lower quadrant.

Choice B rationale: While fever can be present in some cases, it's not a consistent finding with small bowel obstruction unless there's perforation.

Choice C rationale: Common symptoms of small bowel obstruction due to the buildup of contents proximal to the obstruction.

Choice D rationale: A key feature of small bowel obstruction due to the blockage preventing normal bowel movements.

Choice E rationale: Accumulation of gas and fluid above the obstruction causes abdominal distention.

A. Altered level of consciousness B. The onset of symptoms is months to years C. Progressively worsens D. May be caused by fluid and electrolyte imbalances or infection E. May be caused by uncontrolled hypertension and diabetes F. May cause impairments in judgment G. Memory impairments

Correct Answer is ["A","D","F"]

Explanation

Choice A rationale: Altered consciousness is a hallmark feature of delirium, where individuals may experience fluctuations in awareness.

Choice B rationale: Delirium typically has an acute onset rather than symptoms developing over months to years.

Choice C rationale: Delirium often has a fluctuating course, rather than a consistent progressive decline.

Choice D rationale: Delirium can result from various factors including fluid/electrolyte imbalances or infections.

Choice E rationale: While these conditions might contribute to cognitive impairments, they are not typically associated with delirium.

Choice F rationale: Delirium can affect judgment, but it's not a defining feature.

Choice G rationale: While memory impairments can be seen in delirium, they're often accompanied by altered consciousness and fluctuations in awareness.

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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 ["C","D","E"]

Explanation

A client arrives at the clinic with his daughter, reporting memory impairments: Exhibits Which of the following clinical feature are consistent with delirium? Select all that apply?

Correct Answer is ["A","D","F"]

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?