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1. Question
The nurse is caring for a client after a bronchoscopy and biopsy. Which finding, if noted in the client, should be reported immediately to the health care provider?
Correct
Answer: Option 3 is the correct answer.
Rationale: If a biopsy was performed during a bronchoscopy, blood-streaked sputum is expected for several hours. Frank blood indicates hemorrhage. A dry cough may be expected. The client should be assessed for signs of complications, which would include cyanosis, dyspnea, stridor, bronchospasm, hemoptysis, hypotension, tachycardia, and dysrhythmias. Hematuria is unrelated to this procedure. Test-Taking Strategy: Note the strategic word, immediately. Eliminate option 2 first because it is unrelated to the procedure. Next, eliminate option 1 because a dry cough may be expected. Noting that a biopsy has been performed will assist in eliminating option 4, because blood-streaked sputum would be expected. Note that the correct option relates to the airway.
Incorrect
Answer: Option 3 is the correct answer.
Rationale: If a biopsy was performed during a bronchoscopy, blood-streaked sputum is expected for several hours. Frank blood indicates hemorrhage. A dry cough may be expected. The client should be assessed for signs of complications, which would include cyanosis, dyspnea, stridor, bronchospasm, hemoptysis, hypotension, tachycardia, and dysrhythmias. Hematuria is unrelated to this procedure. Test-Taking Strategy: Note the strategic word, immediately. Eliminate option 2 first because it is unrelated to the procedure. Next, eliminate option 1 because a dry cough may be expected. Noting that a biopsy has been performed will assist in eliminating option 4, because blood-streaked sputum would be expected. Note that the correct option relates to the airway.
Bronchoscopy:
Bronchoscopy is direct inspection of the trachea and bronchi through a flexible fiber-optic or rigid bronchoscope. It allows the doctor to determine the location and extent of pathologic processes, assess resectability of a tumor, diagnose bleeding sites, collect tissue or sputum specimens, and remove foreign bodies, mucus plugs, or excessive secretions.
Biopsy:
Biopsy procedures involve removing a small tissue sample for
further testing. Bone marrow aspiration is an important test for evaluating the
blood’s formed elements.
