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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 primary health care provider?
Correct
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
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.
Biopsy
Description
Biopsy is the definitive means of diagnosing cancer and provides histological proof of malignancy.
Biopsy involves the surgical incision to obtain a small piece of tissue for microscopic examination.
Types
Needle: Aspiration of cells
Incisional: Removal of a wedge of suspected tissue from a larger mass
Excisional: Complete removal of the entire lesion
Staging: Multiple needle or incisional biopsies in tissues where metastasis is suspected or likely