A patient with a chronic cough is scheduled to have a bronchoscopy with biopsy. Which intervention will the nurse implement directly after the procedure?

Correct Answer: C

Rationale: The correct answer is C: Keep the patient NPO until the gag reflex returns. After a bronchoscopy with biopsy, the patient's throat and gag reflex may be impaired due to the procedure and anesthesia. Keeping the patient NPO until the gag reflex returns is crucial to prevent aspiration and ensure safe swallowing. Encouraging clear liquids (A) may pose a risk of aspiration if the gag reflex is not intact. Bed rest (B) may not be necessary unless there are specific complications. Maintaining the head of the bed elevated (D) is generally advised for respiratory comfort but is not the immediate priority post-procedure.

Correct Answer: C

Rationale: The correct answer is C because taking antibiotics for influenza is ineffective as influenza is a viral infection, not bacterial. Antibiotics only work against bacteria. Step 1: Influenza is caused by a virus. Step 2: Antibiotics do not treat viral infections. Step 3: Taking antibiotics for influenza will not help. Summary: A, B, and D are correct strategies for reducing influenza transmission, while C is incorrect as antibiotics are not appropriate for treating influenza.

Correct Answer: B

Rationale: The correct answer is B: Monitor for continuous bubbling in the water-seal chamber. This is the priority intervention because continuous bubbling indicates an air leak, which can lead to a pneumothorax. By monitoring for bubbling, the nurse can detect and address the issue promptly. Clamping the chest tube during transport (choice A) is incorrect as it can lead to a tension pneumothorax. Encouraging coughing and deep breathing (choice C) is important for respiratory hygiene but not the priority. Keeping the drainage system at the patient's chest level (choice D) is crucial for proper drainage but does not address the immediate concern of detecting an air leak.

Correct Answer: B

Rationale: The correct answer is B: Check for signs of pneumothorax. After thoracentesis, the nurse must prioritize checking for signs of pneumothorax as it is a potential complication. Symptoms include sudden chest pain, shortness of breath, and decreased oxygen saturation. Monitoring blood pressure and encouraging deep breathing are important but not the priority. Sending the fluid sample to the lab can be done later, as immediate assessment for complications is crucial.

Correct Answer: B

Rationale: The correct answer is B: Rinse your mouth after using the inhaler. Rinsing the mouth helps prevent oral thrush, a common side effect of corticosteroid inhalers. Choice A is incorrect because inhalers are not meant for acute attacks. Choice C is incorrect because corticosteroid inhalers are usually taken regularly, not necessarily before meals. Choice D is incorrect because spacers can improve the delivery of medication from inhalers.