Nokea
The nurse is caring for a patient following a bronchoscopy and maintains NPO status for 2 hours. What additional assessment will indicate to the nurse that this patient's risk for aspiration has decreased?
- A. Patient is fully awake.
- B. Patient asks for a drink.
- C. Gag reflex has returned.
- D. Preoperative medication has worn off.
Correct Answer: C
Rationale: The nurse should not allow the patient to eat or drink after a bronchoscopy until the gag reflex has returned.
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The nurse is obtaining a throat culture. What area will the nurse swab with a cotton-tipped applicator?
- A. Larynx
- B. Oral mucosa
- C. Pharynx
- D. Trachea
Correct Answer: C
Rationale: The nurse should swab the tonsillar area (pharynx) with a sterile cotton-tipped applicator to obtain a specimen for a throat culture.
What should the nurse do when preparing the patient for an arteriography?
- A. Verify if the patient has been taking anticoagulants.
- B. Keep the patient NPO for 24 hours before the procedure.
- C. Instruct the patient to have a full bladder for the procedure.
- D. Inform the patient that a coldness may be felt when dye is injected.
Correct Answer: A
Rationale: When a patient has an arteriography, the nurse should assess if the patient has been taking anticoagulants. The patient is kept NPO for 2 to 8 hours before the procedure. The nurse informs the patient that a warm flush may be felt when dye is injected. The patient is instructed to void before the arteriography.
A sputum specimen is ordered on a patient diagnosed with pneumonia. When is the best time for the nurse to attempt to collect this specimen?
- A. At bedtime
- B. After lunch
- C. In the early morning
- D. After breakfast
Correct Answer: C
Rationale: Early morning before a meal is the best time to collect a sputum specimen.
The nurse is preparing a patient for a barium enema. What color will the nurse inform the patient his stools will be following this procedure?
- A. Blue
- B. White
- C. Green
- D. Brown
Correct Answer: B
Rationale: Immediately following a barium enema, a patient's stools are white until all of the barium is expelled.
What should the nurse do when preparing the patient for a brain scan?
- A. Allow the patient to wear a wig during the scan.
- B. Allow the patient to wear a partial denture plate during the scan.
- C. Inform the patient that a clicking noise will be heard during the scan.
- D. Keep the patient NPO for 12 hours before scan if contrast dye is used.
Correct Answer: C
Rationale: Before a brain scan, the patient is kept NPO for 4 hours if contrast dye is to be used, the patient is instructed not to wear a wig, hairpins, clips, or partial denture plates, and the nurse informs the patient that a clicking noise is made as the scanner moves.