In providing nursing care for a client after gastric endoscopy, which intervention should the nurse include in the post-procedure plan of care for commonly occurring problems?
Aching leg.
Nausea.
Sore throat.
Headache.
The Correct Answer is C
A. Aching leg. Aching leg is not a commonly occurring problem after gastric endoscopy. It may be related to positioning during the procedure or another unrelated issue.
B. Nausea. Nausea is a potential side effect of the anesthesia or sedation used during the procedure. However, it is not as commonly occurring as a sore throat after gastric endoscopy.
C. Sore throat. Sore throat is a commonly occurring problem after gastric endoscopy due to
irritation of the throat by the endoscope. It is often caused by the insertion and manipulation of the scope during the procedure.
D. Headache. While headache can occur as a side effect of anesthesia or sedation, it is not as commonly associated with gastric endoscopy as a sore throat.
Nursing Test Bank
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Related Questions
Correct Answer is A
Explanation
A. Serum potassium. Insulin therapy causes potassium to move into cells, which can lead to hypokalemia. Monitoring serum potassium is critical because significant drops can lead to cardiac arrhythmias and other complications.
B. Urine ketones. While monitoring ketones is important for assessing the resolution of DKA, it is not as immediately critical as monitoring potassium levels.
C. Serum sodium. Sodium levels are important but typically do not change as rapidly as potassium levels during DKA treatment.
D. Blood urea nitrogen (BUN). BUN levels provide information about kidney function and hydration status but are less immediately critical than potassium levels in the context of insulin therapy for DKA.
Correct Answer is B
Explanation
A. While monitoring erythrocytes, hemoglobin, and hematocrit is important in clients with ESRD due to the risk of anemia associated with kidney dysfunction, it is not the primary focus of monitoring for ESRD.
B. Clients with ESRD often experience electrolyte imbalances, including hyperkalemia (high potassium), hypocalcemia (low calcium), and hyperphosphatemia (high phosphorus). Monitoring these electrolyte levels is crucial to prevent complications such as cardiac arrhythmias, bone
disease, and soft tissue calcifications.
C. While blood pressure, heart rate, and temperature are essential vital signs to monitor in all clients, they are not specific laboratory tests for monitoring ESRD. However, blood pressure monitoring is particularly important in ESRD due to the increased risk of hypertension and its associated complications.
D. Monitoring leukocytes, neutrophils, and thyroxine levels is not typically a primary concern in clients with ESRD. Leukocyte and neutrophil levels may be monitored to assess for signs of infection, but they are not specific to ESRD. Thyroxine levels are typically monitored in clients with thyroid disorders, not ESRD.
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