A client suspected of having strep throat is in the clinic. The ...

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A client suspected of having strep throat is in the clinic. The nurse is preparing to collect a throat culture, and should instruct the client to:
 
  1. Brush her teeth before the test.
  2. Gargle with mouthwash.
  3. Drink water before the test.
  4. Open her mouth, stick out her tongue, and say ah.

Question 2

When performing a physical assessment, the nurse auscultates adventitious breath sounds. The nurse should documents this finding as:
 
  1. Breath sounds clear.
  2. Breath sounds unequal.
  3. Wheezing noted on expiration.
  4. Breath sounds diminished.

[strudel15]

Answer to Question 1

Answer: 4

1. Brushing the teeth could remove bacteria that need to be identified.
2. Gargling will also wash away bacteria, and will affect test results.
3. Drinking water prior to the test can affect the results of the test.
4. The nurse should ask the client to open her mouth, stick out her tongue, and say ah to provide a clear path to the back of the throat to gather the sample.

Answer to Question 2

Answer: 3

1. Adventitious breath sounds are abnormal findings, and contain various abnormal sounds.
2. Unequal does not describe adventitious breath sounds.
3. Wheezing is an abnormal sound in the lungs, and is considered adventitious.
4. Diminished breath sounds are abnormal, but are not considered adventitious until there is abnormal noise such as crackles or rhonchi.

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Gracias!

[Mochi]

TYSM