A nurse is reinforcing teaching with a client who is scheduled to undergo a bronchoscopy. Which of the following client statements indicates an understanding of the teaching?
"I can have clear liquids up to 3 hours before the procedure."
"I can eat as soon as the procedure is completed."
"I will receive an injection of radioactive material prior to having the procedure.”
"I might have blood-tinged sputum after the procedure."
The Correct Answer is D
Choice A Reason:
"I can have clear liquids up to 3 hours before the procedure." This is incorrect. Clients are usually instructed to be NPO (nothing by mouth) for a certain period before the procedure, typically 6-8 hours, to reduce the risk of aspiration.
Choice B Reason:
"I can eat as soon as the procedure is completed." This is incorrect. Clients should not eat or drink until the gag reflex returns, which can take a few hours after the procedure.
Choice C Reason:
"I will receive an injection of radioactive material prior to having the procedure.” This is incorrect. An injection of radioactive material is not part of a bronchoscopy. This might be confused with a different diagnostic procedure, such as a PET scan.
Choice D Reason:
"I might have blood-tinged sputum after the procedure." This statement indicates an understanding of the teaching. It is common for clients to have a small amount of blood-tinged sputum following a bronchoscopy due to the irritation caused by the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
Checking the client for ecchymosis is appropriate. Thrombocytopenia increases the risk of bleeding and bruising, so monitoring for ecchymosis (bruising) is essential to detect any signs of bleeding. Ecchymosis can occur more easily in individuals with low platelet counts.
Choice B Reason:
Initiating protective isolation for the client is typically unnecessary solely due to thrombocytopenia. Protective isolation is generally for clients with conditions that compromise their immune system or make them more susceptible to infections.
Choice C Reason:
Administering ibuprofen for a mild headache might not be advisable in someone with thrombocytopenia because ibuprofen can affect platelet function and potentially increase the risk of bleeding.
Choice D Reason:
Instructing the client to shave with a disposable razor isn't recommended because using a sharp blade can increase the risk of cuts and bleeding in someone with a low platelet count. Using an electric razor or avoiding shaving might be safer options to prevent injury and bleeding.
Correct Answer is ["10"]
Explanation
Given:
Diphenhydramine syrup: 12.5 mg/5 MLX
Required dose: 25 mg
First, determine the ratio of the available dosage strength to the required dose:
12.5 mg (available dose) / 5 mL (volume) = 25 mg (required dose) / X mL
Cross-multiply to find X (the amount of syrup needed):
12.5 mg X mL = 25 mg 5 mL
Now, solve for X:
X = (25 mg 5 mL) / 12.5 mg
X = 125 / 12.5
X = 10
Therefore, the nurse should administer 10 mL of diphenhydramine syrup to provide a dose of 25 mg to the older adult client with rhinitis.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today