An appropriate technique for the nurse to tell the client to implement before obtaining a sputum specimen is to:
A. Use mouthwash before the collection
B. Splint the surgical incision before coughing
C. Try to obtain a sample immediately after eating
D. Take a deep breath, cough hard, and expectorate
B
B. If client has a surgical incision or localized area of discomfort, have client place hands firmly over affected area or place pillow over area. Splinting of painful area minimizes muscular stretching and discomfort during coughing and thus makes cough more productive.
A. For expectorant specimen, have client rinse mouth or brush teeth with water. Client should not use mouthwash or toothpaste because they may decrease viability of microorganisms and culture results.
C. Wait 1 to 2 hours after eating.
D. After a series of deep breaths, ask client to cough after full inhalation.
You might also like to view...
The nurse is assessing a 73-year-old patient who was diagnosed with metastatic prostate cancer. The nurse notes that the patient is exhibiting signs of loss, grief, and intense sadness
Based on this assessment data, the nurse will document that the patient is most likely in what stage of death and dying? A) Depression B) Denial C) Anger D) Resignation
The nurse is preparing to indirectly percuss a patient's kidneys. In which order should the nurse perform this assessment?
1. Stand behind the patient. 2. Curl the dominant hand into a fist. 3. Assist the patient to a sitting position. 4. Place nondominant hand over the costovertebral angle. 5. Strike the back of the nondominant hand with the dominant hand.
The nurse would consider which of the following clients to be at greatest risk for postpartum hemorrhage?
A) the client who delivered a preterm infant at 34 weeks' gestation B) the client who delivered twins by cesarean section C) the client who has a temperature of 100.1F just after delivery D) the client who labored for 15 hours with a 45-minute second stage
When an atrial septal defect is present:
A) blood flow to the lungs is significantly decreased, which leads to severe hypoxemia. B) the heart must push harder to force blood flow past a narrowed aorta, resulting in increased afterload. C) deoxygenated blood is able to shift from one atrium to the other and mix with oxygen-rich blood. D) blood is allowed to bypass the right ventricle and lungs due to the fetus's lungs being filled with fluid.