The nurse identifies that the client is unable to cough to ...

[wrbasek0]

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.

[Kingjoffery]

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.

[wrbasek0]

Thanks

[Kingjoffery]

Welcome