Practice Quiz

ANCC Medical-Surgical Nursing Exam Prep

Category - Pulmonary

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A client is scheduled for a bronchoscopy. When teaching the client what to expect afterward, the nurse’s highest priority of information would be
  1. Food and fluids will be withheld for at least 2 hours
  2. Warm saline gargles will be done q2h
  3. Coughing and deep-breathing exercises will be done q2h
  4. Only ice chips and cold liquids will be allowed initially
Explanation
Answer - A - Food and fluids will be withheld for at least 2 hours. Prior to bronchoscopy, the doctor sprays the back of the throat with anesthetic to minimize the gag reflex and thus, facilitate the insertion of the bronchoscope. Giving the client food and drink after the procedure without checking on the return of the gag reflex can cause the client to aspirate. The gag reflex usually returns after two hours.
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