A client had a flexible bronchoscopy 2 hours ago and has become mildly cyanotic despite the application of oxygen. When giving change-of-shift report, which question by the oncoming nurse elicits the most useful information?
a. "How long was the client sedated for the procedure?"
b. "Were the oximetry readings during the test normal?"
c. "Are you sure the client was NPO before the bronchoscopy?"
d. "What kind of topical anesthetic was used on the client?"
D
Benzocaine spray can be used as a topical anesthetic before bronchoscopy to numb the throat. However, its use is associated with methemoglobinemia. Methemoglobin does not carry oxygen, and a clue to this problem is increasing cyanosis refractory to oxygen. Chocolate brown blood is another characteristic of this problem. The other options are all appropriate but are not the prior-ity.
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