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. Fatigue: While fatigue can occur in lung cancer patients, it is not the most common symptom. Fatigue is more of a generalized symptom that can be seen in many diseases, not specific to lung cancer.
B. Hoarseness: Hoarseness can be a symptom of lung cancer, particularly if a tumor is affecting the laryngeal nerves. However, it is less common than a persistent cough and is not usually the initial symptom.
C. Anorexia: Anorexia (loss of appetite) can occur in patients with advanced cancer, including lung cancer, but it is not the most common presenting symptom. Weight loss due to anorexia is more common in later stages.
D. Persistent cough: This is the correct answer. A persistent cough is the most common symptom of lung cancer, especially in the early stages. The cough may be dry or productive and is often overlooked or mistaken for a chronic respiratory condition. It is frequently one of the first signs that leads to further investigation and diagnosis.

A. 4 oz diet soda B. 4 oz skim milk C. Graham crackers D. 1 tsp sugar

Correct Answer is B

Explanation

A. 4 oz diet soda: This is incorrect. Diet soda contains no sugar and will not raise the client's blood glucose level. Although it may provide some hydration, it won't address the hypoglycemia.
B. 4 oz skim milk: This is the correct choice. Skim milk contains both lactose (a sugar) and protein, which can help raise the blood glucose and stabilize it over a longer period. This is a suitable option for treating mild hypoglycemia.
C. Graham crackers: While graham crackers contain carbohydrates, they are not the most immediate or efficient choice in this case. They are slower to digest and may not raise the blood glucose level as quickly as the combination of sugar and protein found in milk.
D. 1 tsp sugar: This is not the best option. While sugar can raise blood glucose, it is a fast-acting form of carbohydrate that may not sustain the client's blood glucose for a longer period. A more balanced option, such as milk, would provide both rapid and sustained glucose elevation.

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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

Naxlex Comprehensive Predictor Exams

Which is the most common symptom of lung cancer?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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