A nurse is gathering information from a patient who has undergone a bronchoscopy. Which of the following observations should the nurse report to the healthcare provider?

Sore throat

Presence of gag reflex

Blood pressure 110/88 mm Hg

Facial edema

Answer and Explanation

The Correct Answer is D

A. Sore throat: A sore throat is a common side effect following a bronchoscopy due to irritation of the airway. It is typically expected and does not indicate a serious complication.

B. Presence of gag reflex: The return of the gag reflex after a bronchoscopy is a normal finding. It indicates that the protective airway reflexes are intact, which is a positive sign.

C. Blood pressure 110/88 mm Hg: Although the diastolic pressure is a bit high, this blood pressure reading is generally acceptable post-procedure and is not typically concerning in the context of a bronchoscopy.

D. Facial edema: Facial edema is not a normal finding following a bronchoscopy. It may indicate an allergic reaction, adverse response to medications used during the procedure, or a complication such as airway edema. This finding should be reported immediately to the healthcare provider as it could signal a potentially serious condition.

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Correct Answer is C

Explanation

Choice A rationale

Discontinuing the nasogastric tube is not the best action to take at this time. The nasogastric tube may be necessary for decompression of the stomach or administration of medications and should not be removed without a specific order from the healthcare provider.

Choice B rationale

Providing the client with ice chips is not the most appropriate action. The client is kept NPO (nothing by mouth) before surgery to prevent aspiration during anesthesia. Therefore, giving the client ice chips could increase the risk of aspiration.

Choice C rationale

Starting the prescribed antibiotic is the correct action. Cefazolin is an antibiotic that is often given before surgery to prevent postoperative infections. Administering this medication as ordered can help to ensure that the client is adequately prepared for surgery.

Choice D rationale

While reinforcing preoperative teaching is an important part of nursing care, it is not the most immediate action that should be taken in this situation. The client’s physical preparation for surgery, including the administration of prescribed medications, should be prioritized.

A. Have the client drink contrast medium. B. Shave the client from axillae to groin. C. Ensure the signed consent is in the medical record. D. Administer a cleansing enema.

Correct Answer is C

Explanation

Choice A rationale

Drinking contrast medium is not typically required for an esophagogastroduodenoscopy (EGD). Contrast media are often used in imaging studies such as CT scans or certain types of X- rays, not for EGD45.

Choice B rationale

Shaving the client from axillae to groin is not necessary for an EGD. This might be required for certain types of surgeries, but an EGD is a non-surgical procedure that involves inserting a flexible tube with a light and camera into the esophagus, stomach, and duodenum.

Choice C rationale

Ensuring the signed consent is in the medical record is crucial before any procedure, including an EGD45678. It is a legal and ethical requirement that ensures the client is informed about the procedure, its purpose, its risks and benefits, and any alternatives.

Choice D rationale

Administering a cleansing enema is not typically required for an EGD. While bowel preparation, such as using a laxative or enema, might be necessary before some procedures like a colonoscopy, it is not usually needed for an EGD45.

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A nurse is gathering information from a patient who has undergone a bronchoscopy. Which of the following observations should the nurse report to the healthcare provider?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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