A nurse is preparing a client for bronchoscopy. Which of the following instructions is most important for the nurse to teach the client?
A) Avoid taking food 3 hours before the procedure.
B) Maintain a side-lying position after the bronchoscopy.
C) Cough out the mucus secretions after the procedure.
D) Start a soft, semisolid diet when the gag reflex returns.
B
Feedback:
The nurse should instruct the client to maintain a side-lying position after the bronchoscopy to facilitate drainage. The client should avoid taking food or fluids 6 to 8 hours before the bronchoscopy procedure. The nurse should not allow the client to cough out mucous secretions after the procedure; the anesthetic numbs the throat, so reflexes are not functional. When the gag reflex returns, the client must be given only clear fluids, and the nurse should monitor the client's ability to tolerate them.
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