SGNA Sedation and Analgesia 3

Question 1

What is the recommended minimum discharge criterion related to sedation before a patient can be released post-endoscopy?

Accepted Answer

Return to pre-sedation level of consciousness

Answer

Patients must return to their baseline (pre-sedation) level of consciousness and meet all other discharge criteria before being released from the endoscopy unit.

Question 2

Which scoring tool is commonly used to assess a patient's readiness for discharge after sedation?

Accepted Answer

Modified Aldrete Score

Answer

The Modified Aldrete Score evaluates activity, respiration, circulation, consciousness, and oxygen saturation to objectively determine post-sedation discharge readiness.

Question 3

A patient receiving moderate sedation develops respiratory depression. What is the nurse's FIRST priority action?

Accepted Answer

Stimulate the patient and provide supplemental oxygen

Answer

Stimulation and supplemental oxygen are the first steps; reversal agents are administered if initial measures are insufficient to restore adequate ventilation.

Question 4

How long should a patient who received naloxone be observed post-procedure?

Accepted Answer

At least 60–120 minutes after the last dose

Answer

Naloxone has a shorter duration than most opioids; patients must be observed for re-narcotization (re-sedation) for at least 60–120 minutes after the last dose.

Question 5

Which complication is most commonly associated with deep sedation during upper endoscopy?

Accepted Answer

Aspiration and respiratory compromise

Answer

Aspiration of gastric contents and respiratory compromise are the most serious and common complications during deep sedation for upper GI endoscopy.

SGNA - Society of Gastroenterology Nurses and Associates Practice Test

SGNA - Society of Gastroenterology Nurses and Associates Practice Test

SGNA Sedation and Analgesia 3