Author Question: A client who is scheduled for a bronchoscopy has arrived at the clinical facility. When preparing ... (Read 24 times)

nmorano1 · **on:** Jul 22, 2018

A client who is scheduled for a bronchoscopy has arrived at the clinical facility. When preparing for the test, the client reports feeling hungry and asks the nurse when he will be able to eat. What information should be provided by the nurse?

A) You will not be allowed to eat or drink until the physician has seen you.
B) You may immediately resume your normal diet after the test.
C) You will not be able to eat or drink until your gag reflex has returned.
D) It will be at least 8 hours after the procedure before you are allowed to eat or drink.

Question 2

The nursing assessment reveals reduced fremitus. This manifestation is consistent with which conditions? Select all that apply.

A) Right-sided heart failure
B) Left-sided heart failure
C) Pneumonia
D) Pulmonary edema
E) Bronchial obstruction

BUTTHOL369 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

Ans: C
Feedback:
The bronchoscopy allows for the visualization of the airways. Nursing interventions for a bronchoscopy include ensuring informed consent, teaching before the procedure, and maintaining n.p.o. status until the gag reflex returns after the procedure.

Answer to Question 2

Ans: B, C, D, E
Feedback:
Fremitus refers to the vibration of air movement through the chest wall. It is best felt by placing the balls of the palms of your hand on the client'sback as the client says 99. The intrascapular space is a good area to feel tactile fremitus because it diminishes as you move out in the lung fields.Decreased fremitus may occur with pleural effusion, pulmonary edema, emphysema, or bronchial obstruction. Left-sided heart failure will result in pulmonary edema, causing decreased fremitus.