A nurse is planning care for a client who is scheduled for a bronchoscopy.
Which of the following interventions should the nurse include in the plan?
Administering post-procedure antibiotics to prevent infection.
Providing pre-procedure sedation as ordered.
Ensuring the client is NPO (nothing by mouth) for a specific period of time before the procedure.
Encouraging the client to drink plenty of fluids before the procedure.
The Correct Answer is C
Choice A rationale
Administering post-procedure antibiotics is not typically required for a bronchoscopy unless there is evidence of infection. The procedure itself does not inherently pose a high risk of infection requiring antibiotics as a preventative measure.
Choice B rationale
Providing pre-procedure sedation is important to ensure the client is comfortable and relaxed during the bronchoscopy. This helps minimize discomfort and anxiety associated with the procedure.
Choice C rationale
Ensuring the client is NPO (nothing by mouth) for a specific period before the procedure is crucial to prevent aspiration. Aspiration can occur if the client has food or liquid in their stomach, posing a serious risk during the insertion of the bronchoscope.
Choice D rationale
Encouraging the client to drink plenty of fluids before the procedure is not appropriate because the client needs to be NPO to prevent aspiration risks during the bronchoscopy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A decreased white blood cell count indicates the body's response to infection is improving, showing the effectiveness of the antibiotics.
Choice B rationale
Increased chest pain and shortness of breath would suggest worsening of the condition, not improvement.
Choice C rationale
Adventitious breath sounds and increased cough are signs that pneumonia may be persisting or worsening.
Choice D rationale
Improved appetite and weight gain are positive signs but are not direct indicators of the effectiveness of antibiotic treatment.
Correct Answer is A
Explanation
Choice A rationale
Dysuria, or painful urination, is a common symptom of acute cystitis (bladder infection). Clients with acute cystitis often report burning sensations during urination and frequent urges to urinate.
Choice B rationale
Nasal congestion is not a symptom associated with acute cystitis. It is more commonly related to respiratory conditions like colds or allergies.
Choice C rationale
Joint pain is not related to acute cystitis. Joint pain can be associated with various musculoskeletal or autoimmune conditions, but not typically with a bladder infection.
Choice D rationale
Shortness of breath is not a symptom of acute cystitis. This symptom is more relevant to respiratory or cardiovascular conditions, not bladder infections.
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