A nurse cares for a client who had a bronchoscopy 2 hours ago. ...

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A nurse cares for a client who had a bronchoscopy 2 hours ago. The client asks for a drink of water. Which action should the nurse take next?
 
  a. Call the physician and request a prescription for food and water.
  b. Provide the client with ice chips instead of a drink of water.
  c. Assess the client's gag reflex before giving any food or water.
  d. Let the client have a small sip to see whether he or she can swallow.

Question 2

A nurse plans care for a client who is experiencing dyspnea and must stop multiple times when climbing a flight of stairs. Which intervention should the nurse include in this client's plan of care?
 
  a. Assistance with activities of daily living
  b. Physical therapy activities every day
  c. Oxygen therapy at 2 liters per nasal cannula
  d. Complete bedrest with frequent repositioning

[jonathanballen97]

Answer to Question 1

ANS: C
The topical anesthetic used during the procedure will have affected the client's gag reflex. Before allowing the client anything to eat or drink, the nurse must check for the return of this reflex.

Answer to Question 2

ANS: A
A client with dyspnea and difficulty completing activities such as climbing a flight of stairs has class III dyspnea. The nurse should provide assistance with activities of daily living. These clients should be encouraged to participate in activities as tolerated. They should not be on complete bedrest, may not be able to tolerate daily physical therapy, and only need oxygen if hypoxia is present.