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.
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Related Questions
Correct Answer is C
Explanation
A. Maintaining nasal packing may be important post-hypophysectomy to prevent bleeding or cerebrospinal fluid leaks. However, in the context of Cushing's disease, ensuring oral hygiene is
paramount due to increased risk of infection, especially if the patient is on corticosteroid therapy, which suppresses the immune system.
B. Keeping the head of the bed at 30° helps prevent complications such as cerebral edema and increased intracranial pressure. While this is important post-hypophysectomy, it's not specific to Cushing's disease or a priority over oral care.
C. Providing frequent mouth care is crucial in Cushing's disease due to increased cortisol levels leading to immunosuppression and susceptibility to infections. Additionally, glucocorticoid therapy can cause mucosal dryness and ulceration, necessitating meticulous oral hygiene.
D. Monitoring intake and output is essential postoperatively to assess fluid balance and renal function. While important, it's not the priority in this context compared to oral care, especially considering the risk of dehydration due to increased cortisol levels in Cushing's disease.
Correct Answer is B
Explanation
A. While scheduling a client and family conference may be necessary to discuss the plan of care, the immediate concern is to determine the type of advance directive the client has and whether it includes preferences regarding resuscitation.
B. This is the most appropriate action because it addresses the family member's concern and ensures that the client's wishes regarding resuscitation are understood and followed.
C. While checking for a DNR bracelet is important, it does not address the family member's question about why the code was called despite the client having a living will.
D. This statement is incorrect. Living wills can guide decision-making regarding end-of-life care, including resuscitation, depending on the legal requirements and documentation in place.
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