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."

Answer and Explanation

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.

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Correct Answer is A

Explanation

Rationale:
A. Increased thirst: Polydipsia, or excessive thirst, is a classic symptom of hyperglycemia. It results from the body's attempt to counteract dehydration caused by osmotic diuresis, which occurs when high glucose levels pull fluid into the urine.

B. Decreased urine output: Hyperglycemia typically causes polyuria (increased urine output), not decreased. High glucose concentrations in the blood lead to osmotic diuresis, resulting in frequent and excessive urination.

C. Moist skin: Hyperglycemia is more often associated with dry skin and mucous membranes due to fluid loss. Moist, clammy skin is more characteristic of hypoglycemia, particularly when it is accompanied by sweating and other adrenergic symptoms.

D. Tremors: Tremors are more commonly associated with hypoglycemia due to increased sympathetic nervous system activity. Hyperglycemia usually develops more gradually and does not typically produce tremors.

A. Peripheral pulse B. Pain level C. Blood pressure D. Appearance of the dressing site E. Heart rate F. Temperature G. Abdominal assessment H. Oxygen saturation

Correct Answer is ["A","B","C","E","H"]

Explanation

Rationale:

Peripheral pulse: Strong and symmetric peripheral pulses in this client indicate that circulation through the femoral artery (the common catheter insertion site for PCI) is intact. This suggests no vascular complications like thrombus or hematoma, which are post-PCI risks.
Pain level: The client initially reported chest pain rated 8/10 with radiation to the left arm and dyspnea. A decreased pain level after PCI reflects reduced myocardial oxygen demand and ischemia, indicating that the intervention was successful.
Blood pressure: The client presented with elevated blood pressure (158/92 mm Hg), likely due to cardiac stress and pain. A return to a more stable range post-intervention indicates reduced sympathetic activation and improved hemodynamic status.
Heart rate: The client had a heart rate of 116/min earlier, likely secondary to chest pain and cardiac stress. A drop toward normal levels post-PCI reflects improved cardiac function and relief of ischemia.
Oxygen saturation: Earlier, the client showed dyspnea and shallow, labored respirations, with an SpO₂ of 96% on room air. An improved or sustained oxygen saturation level after PCI indicates better oxygen delivery and respiratory status, confirming reduced cardiac workload and improved perfusion.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has a new diagnosis of diabetes mellitus. The nurse should identify that which of the following findings is a manifestation of hyperglycemia?

Correct Answer is A

Explanation

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Correct Answer is ["A","B","C","E","H"]

Explanation

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