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 D
Explanation
Choice A rationale
Administering packed RBCs is important but is not the highest priority. Stabilizing the client’s hemodynamic status is critical first.
Choice B rationale
Elevating the client's feet can help with blood circulation but does not address the immediate need to stabilize blood pressure and fluid volume.
Choice C rationale
Initiating a dopamine IV infusion can help with hypotension, but it is not the first action. Stabilizing the client with fluids is a higher priority.
Choice D rationale
Increasing the client's IV fluid rate is the highest priority to address hypotension and ensure adequate blood volume before administering blood products or other medications. .
Correct Answer is A
Explanation
Choice A rationale
A terminal ileostomy involves creating an opening in the right lower quadrant of the abdomen where the ileum is brought to the surface to form a stoma for waste elimination.
Choice B rationale
The left lower quadrant is not used for a terminal ileostomy, as it is not anatomically appropriate for the ileum.
Choice C rationale
The right upper quadrant is not relevant to a terminal ileostomy because the ileum is located in the lower part of the abdomen.
Choice D rationale
The left upper quadrant is also inappropriate for a terminal ileostomy due to the anatomical position of the ileum. .
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