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1.
A client has returned to his room following an esophagoscopy. Before offering fluids, the nurse
should give priority to assessing the client’s:
A.
Level of consciousness
B.
Gag reflex
C.
Urinary output
D.
Movement of extremities
,Correct Answer
B. Gag reflex
Explanation
The client’s gag reflex is depressed before having an EGD. The nurse should give priority to
checking for the return of the gag reflex before offering the client oral fluids. Level of
consciousness is incorrect because conscious sedation is used. Urinary output and movement of
extremities are not affected by the procedure; therefore, they are incorrect.
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2.
Which instruction should be included in the discharge teaching for the client with cataract
surgery?
A.
Over-the-counter eyedrops can be used to treat redness and irritation.
B.
The eye shield should be worn at night.
C.
It will be necessary to wear special cataract glasses.
D.
, A prescription for medication to control post-operative pain will be needed.
Correct Answer
B. The eye shield should be worn at night.
Explanation
The eye shield should be worn at night or when napping, to prevent accidental trauma to the
operative eye. Prescription eyedrops, not over-the-counter eyedrops, are ordered for the client.
The client might or might not require glasses following cataract surgery. Cataract surgery is pain
free.
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3.
An 8-year-old is admitted with drooling, muffled phonation, and a temperature of 102°F. The
nurse should immediately notify the doctor because the child’s symptoms are suggestive of:
A.
Strep throat
B.
Epiglottitis
C.
Laryngotracheobronchitis