NCLEX-RN Sample Question

Question

The nurse in the same-day surgery department cares for a 77-year-old client after a sigmoidoscopy. Which symptom, if exhibited by the client an hour after the procedure, MOST concerns the nurse?

  • 1. The client reports fullness and pressure in the abdomen.
  • 2. The client appears groggy and is thirsty.
  • 3. The client is lightheaded and dizzy.
  • 4. The client has mild pain and cramping in the abdomen.

Answer

1. The client reports fullness and pressure in the abdomen.

INCORRECT- expected after this procedure

2. The client appears groggy and is thirsty.

INCORRECT- expected after this procedure; client has been NPO since midnight before the procedure; Versed is used to aid in relaxation during procedure

3. The client is lightheaded and dizzy.

CORRECT- could signify hypovolemic shock due- to bowel perforation

4. The client has mild pain and cramping in the abdomen.

INCORRECT- expected after this procedure

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