For which patient could the nurse collect a sputum specimen without using a suction catheter?
a. The patient with a newly placed tracheostomy
b. The patient with an endotracheal tube
c. The patient with late-stage amyotrophic lateral sclerosis
d. The patient admitted with chronic bronchitis
D
The patient with a newly placed tracheostomy will need help clearing the airway and can provide a sputum specimen only by having the airway suctioned. A client with an endotracheal tube in place can contribute a sputum specimen only with the assistance of suctioning. A patient in the later stages of a muscle-wasting disease would not have the strength to expectorate a sputum specimen and would require suctioning. The patient with a chronic cough, if there are no other considerations, would be able to expectorate a sputum specimen and would not require suctioning.
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