You are working in an outpatient gastroenterology clinic when, during an elective colonoscopy, after hearing anesthesia say that they "lost track of how much Fentanyl was given," a patient requires frequent, vigorous stimulation in order to respond. You quickly realize that this patient is grossly over-sedated. A patient in this state is said to be:
Lethargic
Stuporous
Obtunded
Comatose
The Correct Answer is D
Choice A reason: Lethargy implies a state of sluggishness, drowsiness, or fatigue, not the inability to respond to stimuli.
Choice B reason: Stupor refers to a state of near-unconsciousness or insensibility, but the patient may respond to vigorous stimulation.
Choice C reason: Obtundation describes a state of consciousness characterized by a reduced alertness and a slow response to stimuli, but not complete unresponsiveness.
Choice D reason: Comatose is the correct term for a state of deep unconsciousness in which a patient cannot be aroused, fitting the description of the patient's condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason : While maintaining a stable ECG rhythm is important, it is not the highest priority. The primary concern is to address life-threatening complications.
Choice B reason : Educating the patient about the causes and effects of coronary heart disease (CHD) or coronary artery disease (CAD) is important for long-term management but is not the immediate priority during acute care.
Choice C reason : Adequate relief of pain is the highest priority in the care of a patient with AMI. Pain is an indicator of ongoing ischemia and can increase the workload of the heart, thereby worsening the condition.
Choice D reason (AMI): While bedrest is part of the care plan, it is not the highest priority compared to pain relief, which has direct implications on the patient's immediate physiological status.
Correct Answer is C
Explanation
Choice A reason: Recording the client's intake and output is important but not the highest priority in an unconscious patient following a cerebral hemorrhage.
Choice B reason: Performing passive range of motion exercises is a lower priority compared to maintaining a patent airway.
Choice C reason: Suctioning saliva from the client's mouth is the highest priority to maintain airway patency and prevent aspiration, which is critical for an unconscious patient.
Choice D reason: Monitoring the client's electrolyte levels is important but secondary to immediate life-saving interventions such as maintaining airway patency.
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