NCLEX-RN

Category - Reduction of Risk

In preparation for bronchoscopy, a nurse needs to see if the client is fit for this procedure. The nurse gathers information and notes that this condition contraindicates the client undergoing bronchoscopy:
  1. Allergy to seafood
  2. Limited extension of the neck
  3. Oxygen saturation = 89%
  4. HR = 92 bpm
Explanation
Answer: B - Bronchoscopy is contraindicated in clients with limited extension of the neck. This procedure requires the client to hyperextend the neck to facilitate easy insertion of the scope. Bronchoscopy doesn’t require the injection of dyes; therefore, an allergy to seafood is not a contraindication. The oxygen saturation (89%) and heart rate are within normal range. If the oxygen saturation is too low, proceeding with the bronchoscopy may cause a 10-20mmHG drop in PaO2, which would require continuous oxygenation during the procedure.
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