A nurse is caring for a client who has just had a bronchoscopy. Which of the following actions should the nurse take?
Explanation & Rationale
A. Irrigate the client's throat every 4 hr: Routine throat irrigation is not recommended after a bronchoscopy, as it may cause irritation or stimulate vomiting. Throat care should focus on comfort and monitoring for complications rather than scheduled irrigation. B. Withhold food and liquids until the client's gag reflex returns: After bronchoscopy, anesthesia or topical numbing may suppress the gag reflex. Withholding food and fluids prevents aspiration and ensures the client can swallow safely once the reflex returns. C. Suction the client's oropharynx frequently: Routine suctioning is not necessary unless secretions accumulate and the client is unable to clear them independently. Unnecessary suctioning can cause trauma or bleeding in the throat. D. Have the client refrain from talking for 24 hr: While the throat may be sore, complete voice rest for 24 hours is not required. The client may speak as tolerated, with gentle use of the voice to prevent strain.