A nurse is caring for a client who just had a flexible bronchoscopy. Which of the following nursing actions is appropriate?

Have the client refrain from talking for 24 hr.

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

Irrigate the client's throat every 4 hr.

Suction the client's oropharynx frequently.

Answer and Explanation

The Correct Answer is B

A. Have the client refrain from talking for 24 hr.: This is unnecessary; the client may talk once the effects of the local anesthetic wear off, typically within an hour or two after the procedure.
B. Withhold food and liquids until the client's gag reflex returns: This is the most important action to prevent aspiration. After a bronchoscopy, the throat is anesthetized, and eating or drinking before the gag reflex returns increases the risk of aspiration.
C. Irrigate the client's throat every 4 hr.: This is not a routine post-procedure intervention and could be uncomfortable for the client.
D. Suction the client's oropharynx frequently: Suctioning should only be performed if the client has difficulty clearing secretions. There is no routine need for frequent suctioning after a bronchoscopy unless clinically indicated.

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Correct Answer is D

Explanation

A. Insulin detemir is a long-acting basal insulin used for maintenance therapy, not for the rapid reduction of blood glucose levels in acute conditions like diabetic ketoacidosis (DKA).
B. NPH insulin is an intermediate-acting insulin used for long-term blood glucose control, but it is not appropriate for immediate treatment of DKA.
C. Insulin glargine is also a long-acting insulin that works over a prolonged period, making it unsuitable for emergency situations like DKA.
D. Regular insulin is the preferred choice for treating diabetic ketoacidosis. It is a short-acting insulin that can rapidly reduce blood glucose levels and is used intravenously for immediate intervention in DKA.

A. M B. D C. T D. N

Correct Answer is A

Explanation

A. The letter "M" in cancer staging refers to metastasis, or whether cancer has spread to other parts of the body.
B. "D" is not part of the TNM staging system for cancer.
C. "T" in the TNM staging system refers to the size of the primary tumor and its extent in the tissue.
D. "N" refers to the extent of regional lymph node involvement but not metastasis to distant organs.

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A nurse is caring for a client who just had a flexible bronchoscopy. Which of the following nursing actions is appropriate?

Nursing Test Bank

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Correct Answer is D

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