A nurse is caring for a client following a bronchoscopy. Which of the following actions should the nurse take first?

Check the client's gag reflex.

Inform the client they might experience a low-grade fever.

Provide the client with sips of water.

Instruct the client to report bleeding.

Answer and Explanation

The Correct Answer is A

The nurse should assess the client's gag reflex before allowing oral intake to prevent aspiration. The client's throat may be numb after a bronchoscopy, which is a procedure that uses a thin tube with a camera and light to examine the lungs and airways . The other actions are important but not the priority.

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Correct Answer is C

Explanation

A frozen fruit juice bar for dessert is a low-sodium option that can satisfy the client's sweet tooth. According to the National Health and Nutrition Examination Survey, Americans consume about 3700 mg of sodium daily, which is much higher than the recommended 2300 mg for the general population and 1500 mg for those with heart failure. Excessive sodium intake can lead to fluid retention, hypertension, and worsening of heart failure symptoms. Therefore, the client should avoid high-sodium foods such as vegetable juice, garlic and onion salts, and mayonnaise.

A. Urticaria B. Mouth sores C. Headaches D. Lymphedema

Correct Answer is D

Explanation

Lymphedema is a contraindication to acupuncture because it increases the risk of infection and worsens the swelling. Acupuncture should not be performed on an oedematous limb at risk of lymphoedema.

The other options are not contraindications to acupuncture.

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A nurse is caring for a client following a bronchoscopy. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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