A nurse is caring for a client who is receiving propofol for an outpatient colonoscopy. Which of the following is a priority for the nurse to monitor?

Temperature

Blood pressure

Pain level

Respiratory rate

Answer and Explanation

The Correct Answer is D

A. Temperature: Propofol does not typically affect body temperature in the short term during outpatient procedures, so monitoring temperature is not the immediate priority.

B. Blood pressure: Propofol can cause hypotension, so blood pressure monitoring is important, but it is secondary to assessing airway and breathing because respiratory depression can be life-threatening.

C. Pain level: Propofol provides sedation and amnesia but not analgesia. Pain assessment is relevant post-procedure, but during administration, airway and breathing take precedence.

D. Respiratory rate: Propofol can cause significant respiratory depression, including apnea. Continuous monitoring of respiratory rate and oxygenation is the priority to detect and respond to life-threatening airway compromise immediately.

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Correct Answer is D

Explanation

A. Liver toxicity: Prednisone is metabolized by the liver but is not commonly associated with hepatotoxicity. Liver function monitoring is not a primary concern for long-term prednisone therapy.

B. Hemolytic anemia: Prednisone does not typically cause hemolytic anemia. Its primary hematologic effects involve immunosuppression rather than direct destruction of red blood cells.

C. Hypoglycemia: Prednisone can increase blood glucose levels by promoting gluconeogenesis and reducing peripheral glucose uptake, which may lead to hyperglycemia rather than hypoglycemia.

D. Bone loss: Long-term use of prednisone decreases calcium absorption and bone formation, increasing the risk of osteoporosis and fractures. Monitoring bone density and implementing preventive measures is essential for clients on chronic corticosteroid therapy.

A. Tinnitus B. Altered taste sensation C. Tremors D. Photosensitivity

Correct Answer is A

Explanation

A. Tinnitus: Gentamicin is an aminoglycoside antibiotic with ototoxic potential. The presence of tinnitus may indicate early ototoxicity, and withholding the medication is necessary to prevent further auditory damage.

B. Altered taste sensation: Changes in taste are generally mild and not a life-threatening side effect. They do not require withholding the medication but should be documented and monitored.

C. Tremors: Tremors can occur with certain medications or electrolyte imbalances, but they are not a common reason to withhold gentamicin unless accompanied by other signs of neurotoxicity.

D. Photosensitivity: Photosensitivity is not a typical adverse effect of gentamicin. While clients may be advised to avoid excessive sun exposure for some medications, this side effect does not necessitate withholding the drug.

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A nurse is caring for a client who is receiving propofol for an outpatient colonoscopy. Which of the following is a priority for the nurse to monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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