A nurse is assessing a client who received IV conscious sedation for a colonoscopy. Which of the following findings indicated that the client is ready for discharge?
The client is restless.
The client shows a brisk response to stimulus.
The client shows a sluggish response to stimulus.
The client is cooperative and oriented.
The Correct Answer is D
A. Restlessness may indicate incomplete recovery or inadequate sedation reversal.
B. A brisk response to stimulus suggests the client is still in a mildly sedated state and not fully recovered.
C. A sluggish response to stimulus also indicates the client is not yet fully alert and oriented.
D. The client being cooperative and oriented is an indication of full consciousness and recovery from sedation, meeting discharge criteria.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Offering the bedpan every 2 hours helps manage elimination but does not specifically reduce the risk of urinary tract infections (UTIs).
B. Cleansing from back to front increases the risk of contamination from the anal area and is incorrect hygiene practice.
C. An indwelling catheter can increase the risk of UTIs, so intermittent catheterization is generally preferred.
D. Encouraging fluid intake helps flush the urinary system, reducing the risk of bacterial growth that can lead to UTIs.
Correct Answer is D
Explanation
A. High-impact activities like jogging or running may worsen symptoms; low-impact exercise is preferred.
B. Increased calcium intake is not specifically recommended for fibromyalgia.
C. Avoiding all exercise during flare-ups is not advised, as gentle stretching or low-impact activities can often help alleviate pain.
D. A regular sleep pattern is essential, as quality sleep can improve symptoms and overall functioning in clients with fibromyalgia.
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