This topic contains a solution. Click here to go to the answer

Author Question: The nurse identifies that the client is unable to cough to produce a sputum specimen, and must be ... (Read 68 times)

wrbasek0

  • Hero Member
  • *****
  • Posts: 560
The nurse identifies that the client is unable to cough to produce a sputum specimen, and must be suctioned. Which of the following suctioning routes is preferred for obtaining this specimen?
 
  a. Nasopharyngeal
  b. Nasotracheal
  c. Oropharyngeal
  d. Orotracheal

Question 2

A patient complains of a headache and chills during a blood transfusion. Which one of the following actions should the nurse take immediately?
 
  a. Check the vital signs.
  b. Stop the blood transfusion.
  c. Slow the rate of blood flow.
  d. Notify the physician and blood bank personnel.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Kingjoffery

  • Sr. Member
  • ****
  • Posts: 332
Answer to Question 1

B
Nasotracheal suctioning is the preferred route for obtaining a sputum specimen when the client is unable to cough to produce a sputum specimen on his or her own.
The nasopharyngeal route for suctioning is used when the client is able to cough, but is unable to clear secretions by expectorating or swallowing. It is not the preferred route for obtaining a spu-tum specimen.
The oropharyngeal route is used when the client is able to cough, but is unable to clear secretions by expectorating or swallowing. It is not the preferred route for obtaining a sputum specimen.
The orotracheal route is used when the client is unable to manage secretions by coughing. The nasotracheal route is preferred over the orotracheal route because stimulation of the gag reflex is minimal.

Answer to Question 2

B

Feedback
A The nurse should take the patient's vital signs, but the initial action should be to stop the blood transfusion.
B If a blood reaction is suspected, the nurse stops the blood transfusion immediately.
C The nurse should not slow the rate of blood flow. The nurse should stop the blood transfusion.
D The nurse should first stop the blood transfusion. The nurse notifies the physician and blood bank personnel after the transfusion is stopped.





 

Did you know?

Medication errors are three times higher among children and infants than with adults.

Did you know?

In inpatient settings, adverse drug events account for an estimated one in three of all hospital adverse events. They affect approximately 2 million hospital stays every year, and prolong hospital stays by between one and five days.

Did you know?

By definition, when a medication is administered intravenously, its bioavailability is 100%.

Did you know?

ACTH levels are normally highest in the early morning (between 6 and 8 A.M.) and lowest in the evening (between 6 and 11 P.M.). Therefore, a doctor who suspects abnormal levels looks for low ACTH in the morning and high ACTH in the evening.

Did you know?

Over time, chronic hepatitis B virus and hepatitis C virus infections can progress to advanced liver disease, liver failure, and hepatocellular carcinoma. Unlike other forms, more than 80% of hepatitis C infections become chronic and lead to liver disease. When combined with hepatitis B, hepatitis C now accounts for 75% percent of all cases of liver disease around the world. Liver failure caused by hepatitis C is now leading cause of liver transplants in the United States.

For a complete list of videos, visit our video library