Question

A nurse is assessing a client who is postoperative following an outpatient endoscopy using midazolam. The nurse should monitor for which of the following findings as an indication that the client is ready for discharge?

a. the client's capnography has returned to baseline
b. the client can respond to their name when called
c. the client is passing flatus
d. the client is requesting oral intake

Answer 1

For a client to be ready for discharge after an outpatient endoscopy using midazolam, the nurse should ensure that baseline capnography is normal and the client can respond to their name, indicating restored cognitive and respiratory function.

Step-by-step explanation:

The nurse monitoring a client who is postoperative following an outpatient endoscopy using midazolam must ensure that the client is stable and meets specific criteria before discharge. The most relevant factors for discharge readiness include:

• Return of baseline capnography, indicating that the respiratory function is normal.
• Ability to respond to their name when called, suggesting cognitive alertness.
• Passing flatus, which may be relevant for gastrointestinal procedures but not specifically for an endoscopy.
• Request for oral intake indicating that the gag reflex has returned and the risk of aspiration is low.

For safe discharge post midazolam sedation, both respiration and cognitive function should be assessed. This ensures the patient has recovered from the sedation and is less prone to postoperative complications or sedation-related side effects such as respiratory depression or impaired mental alertness.