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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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Pernicious anemia affects red blood cell production and does not typically cause blood-tinged urine.

B. Prostate enlargement may cause urinary retention or difficulty urinating, but it does not commonly lead to blood-tinged urine in a catheter bag.

C. A bladder infection (cystitis) can lead to hematuria (blood in the urine), especially when the bladder wall is inflamed.

D. Dehydration can cause concentrated urine but does not usually result in blood-tinged urine.

A. Auscultate cuff blood pressure. B. Monitor the pulmonary artery pressure. C. Palpate pulse pressure. D. Obtain a central venous pressure.

Correct Answer is B

Explanation

A. Auscultating blood pressure may not be as reliable in burn patients due to fluid shifts and potential damage to peripheral tissues.

B. Monitoring pulmonary artery pressure provides crucial information about the cardiovascular system's status, including fluid balance and cardiac function, which are essential in the care of clients with severe burns.

C. Palpating pulse pressure alone is insufficient for thorough cardiovascular monitoring in critically ill burn patients.

D. Central venous pressure provides information about fluid status but does not offer the comprehensive cardiovascular data needed for extensive burn management.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has an indwelling urinary catheter and notes blood-tinged urine in the catheter bag. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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