A nurse is reinforcing teaching with a client who is scheduled to undergo a bronchoscopy.Which of the following client statements indicates an understanding of the teaching?
I can have clear liquids up to 3 hours before the procedure.
I can eat as soon as the procedure is completed.
I might have blood-tinged sputum after the procedure.
I will receive an injection of radioactive material prior to having the procedure.
The Correct Answer is C
Choice A rationale
Having clear liquids up to 3 hours before the procedure is incorrect. Clients are generally advised to be NPO (nothing by mouth) for a certain period before a bronchoscopy to prevent aspiration.
Choice B rationale
Eating as soon as the procedure is completed is incorrect. Clients need to wait until their gag reflex has returned before eating or drinking to prevent choking or aspiration.
Choice C rationale
Blood-tinged sputum after the procedure is an expected finding. Bronchoscopy can cause minor irritation and bleeding in the airways, leading to blood-tinged sputum.
Choice D rationale
Receiving an injection of radioactive material prior to the procedure is incorrect. This statement confuses bronchoscopy with other diagnostic tests such as a PET scan. Bronchoscopy involves direct visualization of the airways using a bronchoscope. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Infiltration occurs when IV fluid leaks into the surrounding tissue, causing edema, coolness, and tenderness at the insertion site. This can lead to discomfort and complications if not promptly addressed.
Choice B rationale
Nerve damage from IV therapy usually presents as pain, numbness, or tingling rather than edema and coolness. It results from inadvertent injury to a nerve during catheter insertion or from prolonged pressure on a nerve.
Choice C rationale
Phlebitis is inflammation of the vein, characterized by redness, warmth, and tenderness along the vein. It does not typically cause coolness or extensive edema.
Choice D rationale
Infection at the catheter insertion site usually presents with redness, warmth, and purulent discharge, rather than coolness and edema. Tenderness can be present, but other signs of infection would also be observed.
Correct Answer is B
Explanation
Choice A rationale
Applying heat to a sprained ankle can increase swelling and should be avoided. Ice should be used instead to reduce swelling.
Choice B rationale
Wrapping the affected ankle with an elastic bandage helps to provide support, reduce swelling, and immobilize the joint.
Choice C rationale
Dangling the affected ankle can cause further injury and increase swelling. The ankle should be elevated to reduce swelling.
Choice D rationale
Bearing full weight on a sprained ankle can exacerbate the injury. The client should avoid putting weight on the ankle until it has healed sufficiently.
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