A nurse is caring for a client who has just had a bronchoscopy. Which of the following actions should the nurse take?

Withhold food and liquids until the client's gag reflex returns.

Irrigate the client's throat every 4 hr.

Have the client refrain from talking for 24 hr.

Suction the client's oropharynx frequently.

Answer and Explanation

The Correct Answer is A

A. Withhold food and liquids until the client's gag reflex returns.

This is the correct action. After a bronchoscopy, the client's throat may be numb or irritated from the procedure, which can temporarily impair the gag reflex. Withholding food and liquids until the gag reflex returns reduces the risk of aspiration, where food or liquid enters the airway instead of the stomach. Aspiration can lead to pneumonia and other serious complications. Therefore, it's essential to assess the client's gag reflex before allowing them to eat or drink.

B. Irrigate the client's throat every 4 hours.

This action is not necessary and may even be harmful. Irrigating the client's throat every 4 hours could further irritate the throat and increase discomfort for the client. Unless specifically ordered by the healthcare provider for a specific reason, such as to remove secretions or debris, routine irrigation of the throat is not recommended after a bronchoscopy.

C. Have the client refrain from talking for 24 hours.

There is typically no need for the client to refrain from talking for 24 hours after a bronchoscopy. While the client may experience some throat discomfort and hoarseness, restricting talking for such an extended period is unnecessary and may cause undue stress or anxiety for the client. Unless specifically instructed by the healthcare provider for a valid reason, such as to allow vocal cord healing, there is no need to restrict talking for such a long duration.

D. Suction the client's oropharynx frequently.

Frequent suctioning of the client's oropharynx is not indicated unless there is a specific medical reason to do so. Excessive suctioning can cause trauma to the mucous membranes, increase the risk of infection, and exacerbate throat irritation. The decision to suction should be based on clinical assessment, such as evidence of secretions or if the client is having difficulty clearing their airway, rather than being performed routinely.

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Correct Answer is A

Explanation

A. Acute bronchospasm:

Albuterol (Proventil) is commonly used to treat acute bronchospasm, which is characterized by sudden constriction of the muscles surrounding the airways. This constriction leads to narrowing of the air passages, making it difficult to breathe. Albuterol works as a bronchodilator by relaxing these muscles, thereby opening up the airways and relieving symptoms such as wheezing, shortness of breath, and chest tightness. It is commonly used to manage conditions such as asthma, chronic obstructive pulmonary disease (COPD), and bronchitis, where bronchospasm is a prominent feature.

B. Acute allergies:

Albuterol (Proventil) is not typically used to treat acute allergies. While it can help alleviate symptoms such as wheezing and shortness of breath that may occur as a result of allergic reactions affecting the airways, its primary indication is for bronchospasm associated with respiratory conditions like asthma and COPD. Antihistamines and corticosteroids are more commonly used to manage allergic reactions and their associated symptoms.

C. Nasal congestion:

Albuterol (Proventil) is not indicated for the treatment of nasal congestion. Nasal congestion primarily involves swelling and inflammation of the nasal passages, which are not directly affected by albuterol. Decongestants such as pseudoephedrine or nasal corticosteroids are typically used to relieve nasal congestion by reducing inflammation and swelling in the nasal passages.

D. Dyspnea on exertion:

Albuterol (Proventil) may help alleviate dyspnea (shortness of breath) on exertion, particularly if it is caused by bronchospasm or exercise-induced bronchoconstriction. By relaxing the muscles around the airways, albuterol can improve airflow and ease breathing difficulties associated with exertion. However, it is important to note that albuterol is primarily indicated for the treatment of acute bronchospasm rather than dyspnea on exertion unrelated to bronchospasm. Other interventions, such as oxygen therapy or addressing underlying cardiovascular conditions, may be necessary to manage dyspnea on exertion in those cases.

A. Nausea B. Dysphagia C. Agitation D. Warm, dry skin

Correct Answer is C

Explanation

A. Nausea

While nausea can occur in hypoxia, it is less common compared to other symptoms such as dyspnea (difficulty breathing), confusion, or cyanosis (bluish discoloration of the skin and mucous membranes).

B. Dysphagia

Dysphagia, or difficulty swallowing, is not typically associated with hypoxia. It is more commonly seen in conditions affecting the esophagus or neurological disorders affecting swallowing function.

C. Agitation

Manifestations of hypoxia can vary depending on the severity and duration of oxygen deprivation. Agitation is a common finding in hypoxia, particularly in cases of acute or severe hypoxemia. As the body's oxygen supply becomes compromised, the brain may perceive this as a threat, leading to increased anxiety, restlessness, and agitation as the body attempts to compensate for the lack of oxygen.

D. Warm, dry skin

Warm, dry skin is not a typical finding in hypoxia. Instead, hypoxia may lead to peripheral vasoconstriction and cool, clammy skin as the body attempts to conserve oxygen and maintain core body temperature.

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A nurse is caring for a client who has just had a bronchoscopy. Which of the following actions should the nurse take?

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What is albuterol (Proventil) used to treat?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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