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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 ["B","C","D"]

Explanation

A. Used linens do not need to be disposed of in the trash but should be laundered to prevent contamination.

B. Wearing a mask, gloves, and gown helps protect immunosuppressed clients from potential infections.

C. Restricting visitors who have active infections prevents the spread of infections to the client.

D. Instructing the client to eat only cooked foods reduces the risk of foodborne infections.

E. Limiting bathing is not necessary; in fact, good hygiene practices are essential to prevent infections.

A. Offer the client the bedpan every 2 hr. B. Cleanse the perineum from back to front. C. Obtain a prescription for an indwelling urinary catheter. D. Encourage fluid intake at and between meals.

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.

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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 creating a plan of care for an immunosuppressed client. Which of the following precautions should the nurse include in the plan? (Select All that Apply.)

Correct Answer is ["B","C","D"]

Explanation

A nurse is planning care for a female client who has a T4 spinal cord injury and is at risk for acquiring urinary tract infections. Which of the following actions should the nurse include in the client's plan of care?

Correct Answer is D

Explanation

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