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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale

Hypokalemia is a potential concern with diuretic therapy, but not with hypertonic saline solution (3% NaCl) administration for hyponatremia.

Choice B rationale

Hypovolemia is less likely to occur with hypertonic saline infusion. The main concern is overcorrection leading to fluid overload.

Choice C rationale

Fluid overload is a significant risk when administering hypertonic saline (3% NaCl). Nurses should closely monitor for signs of fluid overload, such as edema, crackles in the lungs, and increased blood pressure.

Choice D rationale

Hypernatremia is a possible complication of hypertonic saline administration, but it is not as immediate a concern as fluid overload. Monitoring for fluid overload should take precedence.

Correct Answer is ["3"]

Explanation

Step 1 is 1.5 mg ÷ 0.5 mg/tablet = 3 tablets.

Final calculated answer: 3 tablets.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is receiving 3% NaCl solution for correction of hyponatremia.For which of the following will the nurse assess?

Correct Answer is C

Explanation

A nurse is preparing to administer digoxin 1.5 mg PO to a client. The amount available is digoxin 0.5 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["3"]

Explanation

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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?