A nurse is caring for a client who is recovering from a bronchoscopy. Select the area the nurse should assess before giving the client ice chips or fluids. (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)
The Correct Answer is "{\"xRanges\":[33.882846916299556,42.693419603524234],\"yRanges\":[29.535864978902953,37.9746835443038]}"
A. Throat/Pharynx area: The gag reflex must be checked before giving fluids. Anesthetics used during bronchoscopy suppress the gag and cough reflex, which places the client at high risk of aspiration. Assessing the throat for return of reflexes ensures safe swallowing.
B. Head/Brain area: Assessing the brain is not necessary prior to resuming oral intake after bronchoscopy. Neurological function is important overall, but it does not determine whether the swallowing reflex has returned and if the client can safely manage oral fluids.
C. Mouth/Lips: Examining the lips or oral cavity may reveal dryness, bleeding, or trauma, but it does not determine readiness for fluids. The risk of aspiration persists unless gag reflex recovery is confirmed.
D. Chest/Lungs area: Assessing lung sounds is important for evaluating complications such as bronchospasm or pneumothorax, but this does not confirm readiness for oral intake. Aspiration risk remains the main concern until gag reflex recovery is established.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
A. Wear an N95 mask when caring for the client: An N95 mask is necessary for airborne infections such as tuberculosis or measles. Pneumonia caused by typical bacteria or viruses is spread by droplets, so a surgical mask is sufficient, not an N95.
B. Place the client in a private room: Clients with pneumonia should be placed in a private room to prevent transmission of infectious droplets to others, especially those who are immunocompromised or at higher risk for respiratory infections.
C. Place the client on droplet isolation precautions: Pneumonia spreads through large respiratory droplets from coughing or sneezing. Droplet precautions include wearing a surgical mask within 3 feet of the client and limiting close contact exposure.
D. Assign client to a negative air pressure room: A negative air pressure room is required for airborne precautions, not droplet infections like pneumonia. It is unnecessary and would reserve specialized rooms for conditions requiring them.
E. Ensure the client wears a mask when outside their room: Having the client wear a surgical mask while leaving the room helps contain respiratory secretions and prevents droplet transmission to others in hallways or procedure areas.
Correct Answer is B
Explanation
A. "Place guns in a locked glass cabinet.": A glass cabinet, even if locked, does not provide adequate security because glass can be broken easily. This storage method increases the risk of children or unauthorized individuals accessing the firearm.
B. "Keep ammunition and guns in separate, locked locations.": Storing firearms and ammunition separately and in locked containers minimizes the risk of accidental shootings by ensuring that even if one is accessed, the other remains secured, thereby preventing immediate use.
C. "Remove ammunition from the firearm and place it on a table before cleaning.": Although removing ammunition is necessary before cleaning, leaving it out in the open still poses a risk. Safe practices require storing ammunition in a secure, locked area rather than accessible.
D. "Plan to have the firearm inspected by a gunsmith every 5 years.": While firearm inspections may be useful for maintenance, they do not directly reduce the risk of injury in the home. Safety measures focus more on secure storage and limiting access to firearms and ammunition.
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