NCLEX RN Practice Question # 397

scopy

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Laryngoscopy and bronchoscopy

  1. Description:

Direct visual examination of the larynx, trachea, and bronchi with a fiberoptic bronchoscope

  1. Preprocedure
  • Obtain informed consent.
  • Maintain NPO status for the client from midnight before the procedure.
  • Obtain vital signs.
  • Assess the results of coagulation studies.
  • Remove dentures and eyeglasses.
  • Prepare suction equipment.
  • Establish an intravenous (IV) access as necessary and administer medication for sedation as prescribed.
  • Have emergency resuscitation equipment readily available.
  1. Postprocedure
  • Monitor vital signs.
  • Maintain the client in a semi-Fowler’s position.
  • Assess for the return of the gag reflex.
  • Maintain NPO status until the gag reflex returns.
  • Have an emesis basin readily available for the client to expectorate sputum.
  • Monitor for bloody sputum.
  • Monitor respiratory status, particularly if sedation has been administered.
  • Monitor for complications, such as bronchospasm or bronchial perforation, indicated by facial or neck crepitus, dysrhythmias, hemorrhage, hypoxemia, and pneumothorax.
  • Notify the physician if fever, difficulty in breathing, or other signs of complications occur following the procedure.

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