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Chapter 11: Problem 11

Which of the following statements by a client who has undergone an outpatient esophagogastroduodenoscopy indicates adequate understanding of post-test instructions? 1\. "I will need someone to drive me home." 2\. "I can drive myself home after the test." 3\. "I can eat and drink right after the test." 4\. "I will take Tylenol for a fever."

Short Answer

Expert verified
"I will need someone to drive me home."

Step by step solution

01

Understanding Post-Test Instructions

When a patient undergoes an esophagogastroduodenoscopy (EGD), they are often sedated. Sedation affects the patient's ability to perform certain activities immediately following the test. It's important for patients to understand that driving may not be safe shortly after sedation.
02

Exploring Answer Options

Let's evaluate each statement: 1. 'I will need someone to drive me home.'鈥擳his is appropriate because post-sedation, driving oneself is unsafe. 2. 'I can drive myself home after the test.'鈥擳his indicates a misunderstanding, as driving post-sedation is not advised. 3. 'I can eat and drink right after the test.'鈥擳his is incorrect since the gag reflex may not have returned immediately. 4. 'I will take Tylenol for a fever.'鈥擳his statement doesn't specifically pertain to driving or eating after the test.
03

Selecting the Correct Statement

The correct statement is 1. 'I will need someone to drive me home.' This shows an understanding of the need for assistance post-procedure due to sedation effects.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Patient Safety
Following an esophagogastroduodenoscopy (EGD), patient safety is a top priority. This procedure involves examining the upper part of the digestive system using a flexible tube with a camera. Patients are usually sedated to ensure comfort during the process. Sedation temporarily affects cognitive and motor skills. To ensure safety:
  • A responsible adult should accompany the patient to provide assistance.
  • Driving should be avoided until the effects of sedation have worn off completely.
  • A healthcare provider will give specific instructions on what activities can be safely resumed.
In general, taking precautions following an EGD helps prevent accidents and ensures a smooth recovery.
Sedation Effects
Sedation is used during procedures like EGD to help patients remain relaxed and pain-free. However, it can have several short-term effects that patients need to be aware of:
  • Drowsiness and fatigue which can persist for several hours, making operating heavy machinery or driving unsafe.
  • Impaired judgment, memory, and coordination which affects the ability to perform tasks that require focus.
  • Nausea or dizziness, which are common side effects that should subside with time.
It is crucial for patients to plan ahead and arrange for someone to accompany them home. Understanding these effects allows patients to better prepare for the post-procedure period.
Outpatient Procedure Guidelines
EGD is typically performed as an outpatient procedure, meaning the patient doesn't stay overnight in the hospital. This necessitates specific guidelines to ensure a smooth transition from the hospital to home. Key guidelines include:
  • Receiving clear instructions on when to resume eating and drinking. The return of the gag reflex is crucial before consuming any food or liquids.
  • Monitoring for any unusual symptoms, such as prolonged pain, fever, or bleeding, which should be reported to a healthcare professional immediately.
  • Understanding medication guidelines, especially regarding the use of over-the-counter medications like Tylenol following sedation.
Following these guidelines helps in minimizing risks and ensuring patient comfort during the recovery period.

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Most popular questions from this chapter

At 11:00 AM Mr. P. is brought to the unit from the emergency room for admission. Lying on the transport cart, he is complaining of severe nausea and is dry heaving into an emesis basin. His wife and son are with him. What would be the most appropriate action for the nurse to take at this time? 1\. Help get Mr. P. in bed and orient him to the bed controls. 2\. Help get Mr. P into bed and begin to fill out the detailed admission assessment form. 3\. Ask him whether he has valuables for the safe. 4\. Help get Mr. P. in bed, properly positioned for comfort, and begin focused abdominal assessment targeting his nausea.

Metformin (Glucophage) is an oral biguinide antidiabetic medication. The most common side effect is: 1\. gastrointestinal disturbances. 2\. hypoglycemia. 3\. sleepiness. 4\. visual disturbances.

A 42-year-old male client is admitted with a diagnosis of dehydration secondary to AIDS. The client states he has "difficulty eating and swallowing just about anything." Weight evaluation reveals a 10-pound weight loss over a 3 -week period. What could be the most likely etiology for the client's chief complaint? 1\. The client has been unable to go food shopping. 2\. The client's medication profile is causing him to develop anorexia. 3\. The client could be developing an opportunistic infection. 4\. The client has not been compliant with medication regimen.

When the client makes the statement, "I get all balled up when I try to talk to him," and the nurse responds, "Give me an example of getting all balled up," the nurse is using the technique called: 1\. exploring. 2\. reflecting. 3\. interpreting. 4\. paraphrasing.

All of the following are true as a nurse designates a task as high priority except: 1\. priorities are physiological. 2\. priorities are psychological. 3\. if untreated could result in harm to the client. 4\. involve a quick response to needs as determined by the nurse independently from the client involved.
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