Which should the nurse implement to obtain a throat culture?
1. Instruct the client lie flat and tilt head.
2. Apply pressure on the posterior tongue.
3. Avoid touching swab to any inflamed areas.
4. Obtain specimen before or 1 hour after meals.
4
4. The nurse obtains a throat specimen before or 1 hour after a meal to reduce the risk of emesis because many clients cough or gag from the oropharyngeal stimulation.
1. The client sits upright and tilts the head back for the test.
2. The nurse applies pressure to the anterior tongue only because posterior pressure often stimulates emesis.
3. The nurse obtains a swab of the inflamed areas because they are the areas most likely to be infected.
You might also like to view...
A goal of Healthy People 2010 is full immunization of 95% of children in kindergarten and first grade in the United States. To reach this goal, the school nurse can teach families that:
1. A minor illness with a low-grade fever is a contraindication to receiving an immunization. 2. Vaccines should be given one at a time for optimum active immunity. 3. Premature infants and low-birth-weight infants should receive half-doses of vaccines. 4. The benefits of immunizations outweigh the risks of communicable diseases.
A client with sickle cell disease informs the nurse that he is having chest pain. The nurse hears the client coughing, wheezing, and breathing rapidly. What does the nurse suspect is occurring with this client?
A) Vaso-occlusive crisis B) Pneumocystis pneumonia C) Acute chest syndrome D) Acute muscular strain
At the conclusion of a genetic counseling session, a family member believes information is being withheld. In which way is this individual behaving?
A. Confused by the nondirective approach taken by the genetic healthcare providers B. Demonstrating signs of a congenital abnormality C. Angry with the findings from the testing D. Feeling guilty because of the outcome of the testing
MC Mr. Brown is admitted to the hospital with a chronic gastrointestinal condition. He is to be placed on bed rest and IV therapy. You admit him to the nursing unit and will be starting his IV therapy. The questions below refer to this situation
A hypotonic solution is given IV to Mr. Brown. In evaluating the result, you know that hypotonic fluid A. Moves out of the extracellular space into the intracellular space. B. Moves out of the intracellular space into the extracellular space. C. Enters and leaves the extracellular and intracellular space at the same rate. D. Equilibrates between the intravascular and interstitial spaces.