A nurse is providing teaching to a client who is scheduled for a bronchoscopy. Which of the following statements should the nurse include in the teaching?
"You will drink a contrast solution 30 minutes prior to the procedure."
"You will not be able to eat or drink after the procedure until you are able to cough."
"The purpose of this procedure is to remove excess fluid from your lungs."
"You will need to lie on your back for 4 to 6 hours following the procedure."
The Correct Answer is B
Rationale:
A. "You will drink a contrast solution 30 minutes prior to the procedure.": Contrast solutions are used for imaging studies like CT scans, not for bronchoscopies. Bronchoscopy is a visual examination of the airways and does not require contrast ingestion beforehand.
B. "You will not be able to eat or drink after the procedure until you are able to cough.": After a bronchoscopy, the gag and cough reflexes are temporarily suppressed due to local anesthesia. Eating or drinking before these reflexes return increases the risk of aspiration, so this is an essential safety measure.
C. "The purpose of this procedure is to remove excess fluid from your lungs.": Bronchoscopy is primarily used for visualizing the airways, obtaining tissue samples, or removing obstructions. Thoracentesis, not bronchoscopy, is the procedure used to remove fluid from the pleural space.
D. "You will need to lie on your back for 4 to 6 hours following the procedure.": Prolonged supine positioning is not necessary after bronchoscopy. Clients are typically monitored in a semi-Fowler’s position until sedation wears off and airway protective reflexes return.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Asthma: Asthma affects the respiratory system and does not have a direct link to urinary tract infections. It does not alter urinary tract anatomy or immune defenses specific to the urinary system.
B. Diabetes mellitus: Clients with diabetes are at increased risk for UTIs due to immune suppression, glucosuria that promotes bacterial growth, and possible bladder dysfunction (e.g., urinary retention) from diabetic neuropathy. Poor glycemic control further raises infection susceptibility.
C. Pernicious anemia: This condition is related to vitamin B12 deficiency and affects red blood cell production and neurological function, but it does not specifically predispose clients to UTIs.
D. Osteoporosis: Osteoporosis involves reduced bone density and is not associated with urinary tract infections. It does not impact the urinary or immune systems directly.
Correct Answer is C
Explanation
Rationale:
A. Stop the blood transfusion immediately: There is no need to stop the transfusion, as type B negative blood is compatible with AB positive recipients. AB positive individuals are universal recipients and can safely receive red blood cells from any ABO and Rh-negative or Rh-positive blood type.
B. Prepare to administer antipyretics: Antipyretics are not required unless the client shows signs of a febrile reaction. There is no indication from the question that the client is experiencing such symptoms.
C. Monitor the client for any adverse reactions: This is the appropriate action. Although the blood type is compatible, it is standard protocol to closely monitor all clients during transfusion for signs of adverse reactions, especially within the first 15 minutes.
D. Transfuse the blood over 6 hr: Blood transfusions should be completed within 4 hours to reduce the risk of bacterial growth and hemolysis. Extending the transfusion to 6 hours violates safety guidelines.
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