Lewis Ch 25 : Assessment : Respiratory System questions with correct answers

A patient with recurrent shortness of breath has just had a bronchoscopy. What is a priority nursing action immediately after the procedure? -Monitor the patient for laryngeal edema. -Assess the patient's level of consciousness. -Monitor and manage the patient's level of pain. -Assess the patient's heart rate and blood pressure. CORRECT ANSWER Monitor the patient for laryngeal edema. Rationale: Priorities for assessment are the patient's airway and breathing, both of which may be compromised after bronchoscopy by laryngeal edema. These assessment parameters supersede the importance of loss of consciousness (LOC), pain, heart rate, and blood pressure, although the nurse should also be assessing these. When assessing the patient in acute respiratory distress, what should the nurse expect to observe? (Select all that apply.) -Cyanosis -Tripod position -Kussmaul respirations -Accessory muscle use -Increased AP diameter CORRECT ANSWER Cyanosis Accessory muscle use