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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Free Nursing Study Resources

Correct Answer is A

Explanation

Rationale:
A. "If my heart starts racing, my provider might need to adjust my dosage.": This statement shows understanding. Tachycardia is a common sign of overtreatment with levothyroxine, which may lead to hyperthyroidism. The provider should be notified to adjust the dosage if such symptoms occur.

B. "I will keep a journal of my daily food intake to show the provider.": While nutrition is important, this is not a routine requirement for levothyroxine management. The effectiveness of therapy is primarily monitored through thyroid function tests, not dietary logs.

C. "Once my weight is back to normal, I can gradually reduce and then stop the medication.": This indicates a misunderstanding. Levothyroxine is a lifelong therapy for most clients with hypothyroidism, and stopping it can lead to a return of symptoms and complications.

D. "I'm not forgetful, so I do not need a pill reminder system.": While this may be true for some, consistent daily dosing is critical with levothyroxine. Even clients with good memory may benefit from reminder systems to ensure adherence and maintain stable hormone levels.

A. Give each screw a quarter turn daily using the wrench provided. B. Apply powder liberally under the chest portion of the halo fixator device. C. Avoid the use of straws when drinking liquids. D. Place a small pillow under the head while lying supine.

Correct Answer is D

Explanation

Rationale:
A. Give each screw a quarter turn daily using the wrench provided: Clients should never adjust or tighten the halo device screws themselves. Only trained medical professionals should handle adjustments to avoid misalignment or injury to the cervical spine.

B. Apply powder liberally under the chest portion of the halo fixator device: Powder can cake and irritate the skin or lead to moisture buildup, increasing the risk of skin breakdown or infection. The skin under the vest should be kept clean and dry, not powdered.

C. Avoid the use of straws when drinking liquids: Clients can safely use straws to drink fluids while wearing a halo device. There is no contraindication for using a straw, and it may actually make drinking easier.

D. Place a small pillow under the head while lying supine: Using a small pillow supports neck alignment and promotes comfort without compromising the stability of the halo device. This is an appropriate and recommended practice during rest.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is teaching a client about self-management of their halo fixator device. Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

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