Potential complications of an endoscopy include (Select all that apply.)
a. perforation of the GI tract.
b. hemorrhage.
c. oversedation.
d. constipation.
e. aspiration.
A, B, C, E
Fiberoptic endoscopy may present risks for the patient. Although rare, potential complications include perforation of the gastrointestinal (GI) tract, hemorrhage, aspiration, vasovagal stimulation, and oversedation. Signs of perforation include abdominal pain and distention, GI bleeding, and fever.
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On auscultation of the patient's lung fields, crackles that do not clear with coughing are heard bilaterally at the bases. This assessment is indicative of:
A) Collapsed alveoli popping open. B) Fluid in the lungs. C) Rales auscultated at the bases. D) All of the above.
A client receiving total parenteral nutrition for 3 days becomes disoriented and removes her intravenous line. A new line cannot be inserted for 2 to 3 hours. The nurse should monitor the client for:
a. hypoglycemia. b. infection. c. air embolism. d. hyperglycemia.
A patient is brought to the emergency department with gunshot wounds to the abdomen and lower extremities. To protect the chain of evidence for these injuries, what should the nurse do?
A. Cover the patient's hands with plastic bags. B. Cut off the patient's clothing and bathe the skin and wounds as soon as possible. C. Place clothing and other patient items on a bedside table and have a nursing assistant remove them when possible. D. Remove the patient's clothing and place in a breathable bag.
Which of the following neonatal signs or symptoms would the nurse expect to see in a neonate with an elevated bilirubin level?
a. Low glucose b. Poor feeding c. Hyperactivity d. Hyperthermia