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    Ati med surg proctored examQuestion 41
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    Ati med surg proctored exam

    A nurse is caring for a client who is recovering from a bronchoscopy. Select the area the nurse should assess before giving the client ice chips or fluids. (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

    Explanation & Rationale

    A. Throat/Pharynx area: The gag reflex must be checked before giving fluids. Anesthetics used during bronchoscopy suppress the gag and cough reflex, which places the client at high risk of aspiration. Assessing the throat for return of reflexes ensures safe swallowing. B. Head/Brain area: Assessing the brain is not necessary prior to resuming oral intake after bronchoscopy. Neurological function is important overall, but it does not determine whether the swallowing reflex has returned and if the client can safely manage oral fluids. C. Mouth/Lips: Examining the lips or oral cavity may reveal dryness, bleeding, or trauma, but it does not determine readiness for fluids. The risk of aspiration persists unless gag reflex recovery is confirmed. D. Chest/Lungs area: Assessing lung sounds is important for evaluating complications such as bronchospasm or pneumothorax, but this does not confirm readiness for oral intake. Aspiration risk remains the main concern until gag reflex recovery is established.

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