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
Rationale:
A. Sitting up for prolonged periods can lead to hip contractures and should be limited.
B. Elevating the stump on a pillow is discouraged after the first 24-48 hours post-op, as it can lead to contracture formation.
C. Elevating the foot of the bed is not recommended as it may increase the risk of contractures and does not promote stump shaping.
D. Lying prone several times per day helps prevent hip flexion contractures, a common complication after an above-the-knee amputation.
Correct Answer is ["A","B","C","E"]
Explanation
A. Osteoarthritis causes joint pain due to the deterioration of cartilage in the joints.
B. Crepitus, a grating sound, can occur in affected joints due to bone rubbing on bone.
C. Osteoarthritis primarily affects weight-bearing joints such as the hips, knees, and spine.
D. Osteoarthritis often affects joints asymmetrically rather than in a bilateral symmetrical pattern, which is more characteristic of rheumatoid arthritis.
E. Joint stiffness, particularly after periods of inactivity, is a common symptom of osteoarthritis.
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