A nurse is caring for a patient who has just returned to the unit following a bronchoscopy and requests coffee.
The nurse assesses that it is safe for the patient to resume oral liquids when which of the following behaviors is demonstrated?
The patient can drink water through a straw without choking.
The patient has intact cough and swallowing reflexes.
The patient has clear breath sounds upon auscultation.
The patient reports that they are not experiencing a sore throat.
The Correct Answer is B
Choice A rationale
While being able to drink water through a straw without choking is a positive sign, it is not the primary indicator that a patient can safely resume oral liquids after a bronchoscopy. The primary indicator is the return of the patient’s cough and swallowing reflexes.
Choice B rationale
The patient has intact cough and swallowing reflexes is the primary indicator that a patient can safely resume oral liquids after a bronchoscopy. These reflexes are essential for preventing aspiration, which can lead to pneumonia.
Choice C rationale
While clear breath sounds upon auscultation are a positive sign, they are not the primary indicator that a patient can safely resume oral liquids after a bronchoscopy. The primary indicator is the return of the patient’s cough and swallowing reflexes.
Choice D rationale
The absence of a sore throat is not the primary indicator that a patient can safely resume oral liquids after a bronchoscopy. The primary indicator is the return of the patient’s cough and swallowing reflexes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While immunosuppressive drug therapy can facilitate organ rejection, it is not directly related to the development of chronic rhinosinusitis in patients who have undergone organ transplants.
Choice B rationale
Immunosuppressive drug therapy can indeed contribute to chronic rhinosinusitis. Patients who have undergone organ transplants are often on long-term immunosuppressive therapy to prevent organ rejection. This can make them more susceptible to infections, including chronic rhinosinusitis.
Choice C rationale
Chronic rhinosinusitis does not typically damage the transplanted organ. It primarily affects the sinuses and nasal passages.
Choice D rationale
All of the above is not the correct answer because Choices A and C are not accurate in the context of chronic rhinosinusitis in patients who have undergone organ transplants.
Correct Answer is D
Explanation
Choice A rationale
Performing an opening move is an initial step in the negotiation process where each party presents their initial demands or offers. This is not the step the nurse manager is using in this scenario.
Choice B rationale
Continuing the negotiation involves ongoing discussions and adjustments to reach a mutually beneficial agreement. This is not the step the nurse manager is using in this scenario.
Choice C rationale
Clarifying the problem involves understanding and defining the issues at hand. While this is an important step in the negotiation process, it is not the step the nurse manager is using in this scenario.
Choice D rationale
Setting ground rules involves establishing the guidelines for how the negotiation will be conducted. In this scenario, the nurse manager is setting ground rules by inviting the staff to each take a turn speaking and requesting that everyone listen respectfully and refrain from making personal or professional comments about one another.
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