Which does the nurse include in client teaching before bronchoscopy?
1. Swallow the anesthetic solution for best results.
2. The nurse offers food or fluids after the procedure.
3. The tube passes through the nose and throat easily.
4. Avoid food and fluids for 2 to 3 hours beforehand.
2
2. The nurse cautions the client to avoid taking anything by mouth after the bron-choscopy until offered or approved by the nurse because the nurse determines when the gag reflex returns. The provider sprays a local anesthetic agent to depress the gag reflex before passing the bronchoscope. Ingesting oral food or fluid potentially causes choking or aspiration with a depressed gag reflex.
1. The anesthetic is sprayed into the trachea and oropharynx and the volume should not be enough to swallow.
3. The bronchoscope passes through the oropharynx into the trachea.
4. The client is NPO for 8 hours before the bronchoscope to help prevent aspiration of gastric contents.
You might also like to view...
After teaching a group of nursing students about cholinergic drugs, the instructor determines a need for additional teaching when the students identify which drug as being administered orally?
A) Ambenonium B) Bethanechol C) Pyridostigmine D) Edrophonium
The current guidelines for screening by mammogram recommend which of the following?
a. baseline screening mammogram for women age 30 b. mammogram every 2 years for women ages 30–45 c. baseline mammography and annual screening starting at age 40 d. annual mammogram for women after age 45
Gerontology is:
a. The study of the aging process b. Age-related farsightedness c. The care of aging people d. The physical changes that occur with ag-ing
A patient admitted for treatment of uncontrolled diabetes mellitus is withdrawn and tearful. The patient says, "I just want to be normal again.". The nurse determines there is a need for a psychiatric evaluation primarily to assist:
a. the patient in verbalizing distress about the disease. b. in assessing the emotional factors affecting the patient's present condition. c. in assessing priorities to be set for the patient's overall nursing plan of care. d. the patient in emotionally accepting the chronic nature of the disease.