Page 1570 - Saunders Comprehensive Review For NCLEX-RN

f. Collect the specimen before the

client begins antibiotic therapy. If
already started on antibiotic therapy,
ensure the laboratory can utilize an
antimicrobial removal device when
analyzing the specimen.
3. Postprocedure
a. If a culture of sputum is prescribed,
transport the specimen to the
laboratory immediately.
b. Assist the client with mouth care.

Ensure that an informed consent was

obtained for any invasive procedure. Vital signs are
measured before the procedure and monitored
postprocedure to detect signs of complications.
D. Laryngoscopy and bronchoscopy
1. Description: Direct visual examination of the larynx,
trachea, and bronchi with a fiberoptic bronchoscope
2. Preprocedure
a. Maintain NPO (nothing by mouth)
status as prescribed.
b. Assess the results of coagulation
studies.
c. Remove dentures and eyeglasses.
d. Establish an intravenous (IV) access as
necessary and administer medication
for sedation as prescribed.
e. Have emergency resuscitation supplies
readily available.
3. Postprocedure
a. Maintain the client in a semi-Fowler’s
position.
b. Assess for the return of the gag reflex.

c. Maintain NPO status until the

gag reflex returns.
d. Monitor for bloody sputum.
e. Monitor respiratory status, particularly
if sedation has been administered.
f. Monitor for complications, such as
bronchospasm or bronchial
perforation, indicated by facial or neck
crepitus, dysrhythmias, hemorrhage,
hypoxemia, and pneumothorax.

1570