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 D

Explanation

Rationale:

A. This area is the lateral side of the the heel and is more commonly affected by arterial ulcers or pressure injuries. It is not the typical location for ulcers caused by venous insufficiency.

B. This area is the area on the tip of toes and is not a typical site for venous ulcers. Ulcers in this location are commonly arterial or diabetic ulcers.

C. This area is the area on the sole of the feet at the base of the big toe and is not a typical site for venous ulcers.
D. This area is the medial malleolus, just above the inner ankle, which is the most common site for venous ulcers. Chronic venous insufficiency leads to venous stasis and increased pressure in this region, causing skin breakdown and ulceration.

A. Upper arm and lower leg findings B. Skin temperature C. Blood pressure D. Bowel sounds E. Hgb F. Heart rate

Correct Answer is ["A","C","E","F"]

Explanation

Rationale:

A. Upper arm and lower leg findings: The presence of ecchymoses indicates impaired coagulation, which is common in chronic liver disease due to decreased clotting factor production. In the context of active bleeding (hematemesis), this is significant and needs immediate evaluation.

B. Skin temperature: Cool and dry skin, while concerning, is a nonspecific symptom. It may support a diagnosis of hypovolemia or shock, but on its own, it does not require the same urgent intervention as abnormal vital signs or lab results.

C. Blood pressure: A BP of 92/56 mm Hg indicates hypotension and suggests the client may be experiencing hypovolemic shock from gastrointestinal bleeding. This finding requires immediate intervention to prevent end-organ damage.

D. Bowel sounds: Bowel sounds auscultated in all four quadrants suggest that gastrointestinal motility is present. This is not a priority finding and does not indicate an urgent complication.

E. Hgb: A hemoglobin level of 7 g/dL is critically low and consistent with significant blood loss. This value requires immediate follow-up, likely including blood transfusion and identification of the bleeding source.

F. Heart rate: A heart rate of 118/min reflects a compensatory response to hypotension or blood loss. Tachycardia in this setting is a key sign of circulatory compromise and must be addressed immediately.

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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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