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) Maintaining clean technique during dressing changes is essential for preventing infection but is not specific to pain management.
B) Providing low-calorie snacks is unrelated to managing moderate partial-thickness burns.
C) Allowing the child to set their own schedule for wound care might not be appropriate or safe, as wound care should be performed according to healthcare provider recommendations.
D) Ensuring the child receives pain medication prior to therapy helps manage pain associated with dressing changes and other therapeutic interventions.
Correct Answer is ["A","C","D"]
Explanation
Rationale:
A) Loosening restrictive clothing prevents injury during the seizure.
B) Hyperextending the child's neck can cause injury and should be avoided. Instead, the neck should be supported to maintain an open airway.
C) Timing the seizure episode is important for documenting the duration and for providing accurate information to healthcare providers.
D) Placing the child in a side-lying position helps prevent aspiration and maintains an open airway during the seizure.
E) Restraint should not be applied during a seizure unless absolutely necessary to prevent injury to the child or others.
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