A nurse is obtaining a sputum sample from a school-age child. Which of the following actions should the nurse take?
Ask the child to cough deeply.
Ask the child to clear their throat.
Use wall suction to obtain the sample from the child's throat.
Use a bulb syringe to obtain sputum from the child's mouth.
The Correct Answer is A
Rationale:
A) Asking the child to cough deeply can help bring up sputum for sampling.
B) Asking the child to clear their throat might not be effective in obtaining a sputum sample.
C) Using wall suction can be invasive and unnecessary for obtaining a sputum sample.
D) Using a bulb syringe to obtain sputum from the child's mouth might not be effective for obtaining a sputum sample from the lower respiratory tract.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A) Placing the child in a forward-facing car seat before the appropriate age and size increases the risk of injury.
B) Placing the child in the front seat, even in a rear-facing car seat, is not recommended due to the risk of airbag deployment.
C) Booster seats are used for older children who have outgrown their forward-facing car seats, but are not yet big enough to use the seat belt properly. Booster seats should be used until the child is at least 4 feet 9 inches tall and between 8 and 12 years old.
D) Placing the child in a rear-facing car seat until age 2 is recommended by safety guidelines to provide optimal protection for the child's head, neck, and spine.
Correct Answer is B
Explanation
Rationale:
A) It is recommended to use fresh or frozen fruits and vegetables rather than canned due to concerns about added sugars and sodium.
B) Introducing one new food every 5 to 7 days helps identify potential allergies or intolerances and allows the infant's digestive system to adjust to new foods.
C) The amount of solid food introduced initially is typically smaller, usually starting with a teaspoon or so, gradually increasing as the infant gets accustomed to eating solids.
D) Adding rice cereal to a bottle is not recommended as it can increase the risk of choking and does not promote self-feeding skills.
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