Medical Surgical Bronchoscopy #2

Question

The nurse is preparing for a bronchoscopy. Which action by the nurse is priority?

Answers

  1. Have emergency resuscitation equipment readily available.
    • Rationale:

      This answer is not correct, although it will take priority after informed consent has been obtained from the client. Having emergency resuscitation equipment and suction readily available will always be a priority.

  2. Prepare suction equipment and materials.
    • Rationale:

      This answer is not correct because informed consent has to be obtained before preparing for the procedure. Having emergency resuscitation equipment and suction readily available will always be a priority.

  3. Remove the dentures of the client.
    • Rationale:

      This answer is not correct since informed consent should be obtained before removing the client’s dentures. Removing the client’s dentures before a bronchoscopy is an intervention to ensure airway patency.

  4. Obtain informed consent.
    • Rationale:

      This answer is correct because obtaining informed consent is the first order of action and priority before a procedure. The client requires sufficient information about the procedure in order to make a well-considered decision about their care. It also reduces risks of legal action for the provider.

Overview

Obtaining informed consent before any procedure is priority. There can be no procedure without informed consent. Informed consent reduces the risk of legal action for the provider. It should be performed before the procedure.

Explanation

Learning Outcomes

Informed consent is providing the client sufficient information to make a well-considered decision regarding their care. It also reduces the risk of legal action for the provider. It should be performed before the procedure. Once informed consent has been obtained, the nurse can prepare for the procedure. Having emergency resuscitation equipment and suction readily available will always be a priority. Removing the dentures of the client before a bronchoscopy will help ensure airway patency. Other preparations for a bronchoscopy include assessing coagulation studies, establishing intravenous access, and making sure the client maintained NPO status before the procedure is advised.

Test Taking Tip

Obtaining informed consent is always priority.

Video Rationale