Author Question: The nurse encourages the client to expectorate sputum rather than swallowing it. What is the ... (Read 26 times)

anshika · **on:** Jul 23, 2018

The nurse encourages the client to expectorate sputum rather than swallowing it. What is the rationale for this direction?

1. Sputum contains bacteria that should be expectorated.
2. Swallowing sputum is dangerous to the system.
3. The nurse should view the sputum for quality and quantity.
4. The client is likely to aspirate the sputum while attempting to swallow it.

Question 2

The nurse is planning a time schedule for a client's twice-daily postural drainage. Which time schedule would be best?

1. 0800 and 1100
2. 1200 and 1800
3. 0700 and 2000
4. 0900 and 2100

mariahkathleeen · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Sputum does contain bacteria, but they are killed by the acid environment of the gastrointestinal tract.
Rationale 2: There is no danger to swallowing sputum.
Rationale 3: There is no good rationale for having the client expectorate the sputum except for the nurse to view it for quality and quantity.
Rationale 4: The client is no more likely to aspirate sputum than any other fluid.

Answer to Question 2

Correct Answer: 3
Rationale 1: Postural drainage should be scheduled to avoid hours shortly after meals because the treatment may induce vomiting and can be very tiring for the client. Since this client is getting the treatments only twice each day, the sessions should be separated as far as possible to allow for benefits across a longer time span.
Rationale 2: Since this client is getting the treatments only twice each day, the sessions should be separated as far as possible to allow for benefits across a longer time span.
Rationale 3: Postural drainage should be scheduled to avoid hours shortly after meals because the treatment may induce vomiting and can be very tiring for the client. Of the options offered, the one that takes into consideration the meal schedule and is most widely distributed is 0700 and 2000.
Rationale 4: Postural drainage should be scheduled to avoid hours shortly after meals because the treatment may induce vomiting and can be very tiring for the client. Since this client is getting the treatments only twice each day, the sessions should be separated as far as possible to allow for benefits across a longer time span. Of the options offered, the one that takes into consideration the meal schedule and is most widely distributed is 0700 and 2000.