Practice Quiz

PCCN Progressive Care Certified Nursing

Category - PCCN

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The nurse is assessing a client who, admitted due to difficulty breathing, underwent a bronchoscopy. On assessment, the nurse notes absence of the gag reflex. Which of the following interventions is the least appropriate for the client?
  1. Limit oral fluid intake to 1000 mL per day
  2. Assist the client in upright position
  3. Withhold oral medications
  4. Re-assess the client’s gag reflex in 2 hours
Explanation
Answer: A - A client must not be given anything by mouth until the gag reflex returns. The other options are appropriate for a post-bronchoscopy client.
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