Question

2 name 3 things that are expected and not alarming post bronchoscopy:

3 name 2 things are NOT expected and are concerning:

4 what can be suggested to ease throat pain after?

5 what can decrease the possibility of laryngeal edema?

6 what position is the thoracentesis done in?

7 what instructions are given to the client during procedure?

8 what is monitored DURING?

9 what will help the lung to reexpand afterwards?

10.`how often will lung sounds and VS be monitored after?

11.if a patient who had a thoracentesis was bleeding internally, what signs might be seen?

Answer 1

2. 3 things that are expected and not alarming post bronchoscopy -

• Sore throat or hoarseness
• Impaired reflexes and judgment
• Coughing dark-brown blood

3. 2 things are NOT expected and are concerning -

• Trouble breathing and Chest pain
• Bright red blood in the sputum(significant amount)

4. Warm water gargles with salt in it and throat lozenges can be suggested to ease throat pain after.

5. Administration of corticosteroids can decrease the possibility of laryngeal edema.

6. For people who can't sit, supine position is preffered while the others are asked to sit upright on the edge of the bed with arms extended leaned upon a table with pillow for comfort.

7. The following instructions are given to the client during procedure -

• Put on operation gown
• Remove dentures
• Take out glasses or hearing aid
• Asked to sit back with arms at side so that appropriate devices can be connected to monitor heart rate BP and oxygen
• Ask to respond if doctor ask something during the procedure

8. Generally, blood pressure, heart rate and level of oxygen are monitored during the process. Hurt, pain and comfort level of the patient are also monitored by the health care team.

9. During the procedure a tube is inserted into the space to clear blockages of airways around the lung which later helps in re-expanding the lung

10. Lung sound and other vital signs are often monitored untill patient returns to preprocedural baseline status.

11. Shortness of breath, difficulty in breathing, chest pain, pale skin and restlessness can be signs of internal bleeding dur to thoracentesis.