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. .
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
Administering a broad-spectrum antibiotic is not appropriate for tinea corporis, which is a fungal infection. Antifungal medications are needed.
Choice B rationale
Isolating the client for 24 hours after lesions appear is not necessary, as tinea corporis is not a severe infection requiring isolation.
Choice C rationale
Avoiding direct contact is essential to prevent the spread of the fungal infection.
Choice D rationale
Placing the client on airborne precautions is not needed for tinea corporis, as it is not an airborne infection.
Correct Answer is C
Explanation
Choice A rationale
The supine position with the head of the bed flat does not facilitate the safe and effective draining of fluid from the pleural cavity. This position can compromise the respiratory status of the patient and is therefore not suitable for a thoracentesis.
Choice B rationale
The Trendelenburg position, where the head is lower than the feet, can increase intracranial pressure and is not suitable for thoracentesis. This position does not allow for the optimal access to the pleural space needed for the procedure.
Choice C rationale
Sitting upright while leaning forward over pillows is the ideal position for a thoracentesis. This position allows the fluid to accumulate at the base of the pleural cavity and provides easy access for the procedure. It also facilitates better breathing and reduces the risk of injury to the diaphragm and other internal structures.
Choice D rationale
Lying prone with arms extended away from the body does not provide adequate access to the pleural space for thoracentesis. This position also makes it difficult to manage and monitor the patient's respiratory status during the procedure. .
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