Author Question: An appropriate technique that the nurse can tell the patient to implement before obtaining a sputum ... (Read 151 times)

wrbasek0 · **on:** Jul 24, 2018

An appropriate technique that the nurse can tell the patient 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.

Question 2

When preparing an adult patient for an enema, the nurse understands that the tube or nozzle should be inserted how far?

a. 1 to inches
b. 2 to 3 inches
c. 3 to 4 inches
d. 4 to 5 inches

katieost · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

B
If the patient has a surgical incision or localized area of discomfort, have the patient place hands firmly over the affected area, or place a pillow over the area. Splinting of painful areas minimizes muscular stretching and discomfort during coughing and thus makes cough more productive. The patient should not use mouthwash or toothpaste because it may decrease viability of microorganisms and culture results. Have the patient wait 1 to 2 hours after eating. After a series of deep breaths, ask the patient to cough after full inhalation.

Answer to Question 2

C
Insert the nozzle of the container gently into the anal canalfor adults, 7.5 to 10 cm (3 to 4 inches). If administering to an infant, insert the tip of the tube 2.5 to 3.75 cm (1 to inches). If administering to a child, insert the tip of the tube 5 to 7.5 cm (2 to 3 inches). However, children and infants usually do not receive prepackaged hypertonic enemas because hypertonic solutions cause rapid fluid shift. Inserting the tip of the tube more than 4 inches is not appropriate at any age.