A nurse is caring for a client who is postoperative following an endoscopy with moderate (conscious) sedation.
Which of the following assessment findings is the nurse's priority?
Level of pain.
Gag reflex.
Warmth of extremities.
Temperature.
The Correct Answer is B
The nurse’s priority should be to assess the client’s gag reflex.
After an endoscopy with moderate (conscious) sedation, it is important to ensure that the client’s gag reflex has returned before allowing them to eat or drink.
Choice A is incorrect because while pain management is important, it is not the nurse’s priority in this situation.
Choice C is incorrect because the warmth of extremities is not the nurse’s priority in this situation.
Choice D is incorrect because temperature is not the nurse’s priority in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Wearing a lead apron can help protect the nurse from radiation exposure while providing care to a client receiving internal radiation therapy.
Choice A is incorrect because visitors may need to limit their contact with the client and follow specific safety precautions.
Choice B is incorrect because a dosimeter film badge is worn by the nurse to measure radiation exposure, not placed on the client’s door.
Choice D is incorrect because the door to the client’s room may need to be kept closed as a safety precaution 2.
Correct Answer is C
Explanation
Step 1: 100 mL ÷ 30 min
Step 2: (100 mL ÷ 30 min) × 60 min/hr
Step 3: 3.33 mL/min × 60 min/hr
Answer: 200 mL/hr
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