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 A
Explanation
Rationale:
A) Pertussis is spread via respiratory droplets, so droplet precautions should be initiated.
B) Contact precautions are used for diseases transmitted by direct contact with the patient or their environment, not for pertussis.
C) Airborne precautions are used for diseases transmitted by airborne particles, such as tuberculosis or measles, not for pertussis.
D) Protective precautions are not a standard precaution type; they involve protecting immunocompromised patients from acquiring infections.
Correct Answer is A
Explanation
Rationale:
A. Monitoring capillary refill of the casted extremity is crucial for assessing circulation and ensuring there are no complications such as compartment syndrome.
B. While supporting the cast correctly is important, it is not the priority immediately following the application.
C. Examining the skin at the cast edges is important, but it is not the priority immediately following the application.
D. Instructing the child not to put anything inside the cast is important, but it is not the priority immediately following the application.
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