A nurse is assisting with the care of a client who is receiving penicillin via intermittent IV bolus.Which of the following should the nurse recognize as a clinical manifestation of anaphylaxis?

Choice A rationale

Having clear liquids up to 3 hours before the procedure is incorrect. Clients are generally advised to be NPO (nothing by mouth) for a certain period before a bronchoscopy to prevent aspiration.

Choice B rationale

Eating as soon as the procedure is completed is incorrect. Clients need to wait until their gag reflex has returned before eating or drinking to prevent choking or aspiration.

Choice C rationale

Blood-tinged sputum after the procedure is an expected finding. Bronchoscopy can cause minor irritation and bleeding in the airways, leading to blood-tinged sputum.

Choice D rationale

Receiving an injection of radioactive material prior to the procedure is incorrect. This statement confuses bronchoscopy with other diagnostic tests such as a PET scan. Bronchoscopy involves direct visualization of the airways using a bronchoscope. .

Choice A rationale

Applying heat to a sprained ankle can increase swelling and should be avoided. Ice should be used instead to reduce swelling.

Choice B rationale

Wrapping the affected ankle with an elastic bandage helps to provide support, reduce swelling, and immobilize the joint.

Choice C rationale

Dangling the affected ankle can cause further injury and increase swelling. The ankle should be elevated to reduce swelling.

Choice D rationale

Bearing full weight on a sprained ankle can exacerbate the injury. The client should avoid putting weight on the ankle until it has healed sufficiently.