Question

A nurse is assessing a client who is post op following an outpatient endoscopy procedure using midazlolam. the nurse should monitor for which of the following findings as an indication that the client is ready for discharge?

A. Profound sedation and limited responsiveness
B. Clear airway and ability to swallow
C. Elevated blood pressure and heart rate
D. Slurred speech and drowsiness

Answer 1

The nurse should monitor for clear airway and ability to swallow as an indication that the client is ready for discharge after an outpatient endoscopy procedure using midazolam.

Step-by-step explanation:

The nurse should monitor for clear airway and ability to swallow as an indication that the client is ready for discharge.

After an outpatient endoscopy procedure using midazolam, it is important to ensure that the client's airway is clear and that they are able to swallow properly. This indicates that they have fully recovered from the effects of the medication and are ready to be discharged. It is also important to monitor for any signs of respiratory depression or other complications.

In contrast, options A, C, and D are not indicative of readiness for discharge. Profound sedation and limited responsiveness (option A) may suggest that the client is still under the effects of the medication and not fully recovered. Elevated blood pressure and heart rate (option C) may indicate a physiological response to the procedure or medication and should be monitored further. Slurred speech and drowsiness (option D) may also suggest residual effects of the medication and the need for continued observation.