Nokea
An adult client is to have a sputum for culture. When is the best time for the nurse to collect the specimen?
- A. In the morning right after he awakens
- B. Immediately after breakfast
- C. Two hours after eating
- D. Shortly before he retires for the evening
Correct Answer: A
Rationale: The sputum has collected during the night, making it most concentrated and ideal for culture early in the morning.
You may also like to solve these questions
When the physician prescribes the first-generation antihistamine for the client's symptomatic relief, the nurse appropriately advises the client that first-generation antihistamines are associated with which side effect?
- A. Weight loss
- B. Constipation
- C. Drowsiness
- D. Depression
Correct Answer: C
Rationale: First-generation antihistamines cross the blood-brain barrier, often causing drowsiness as a common side effect.
The nurse is planning the activities for the client diagnosed with asbestosis. Which activity should the nurse schedule at 0900 if breakfast is served at 0800?
- A. Assist with the client's bath and linen change.
- B. Administer an inhalation bronchodilator treatment.
- C. Provide the client with a one (1)-hour rest period.
- D. Have respiratory therapy perform chest physiotherapy.
Correct Answer: B
Rationale: Bronchodilator treatment (B) at 0900 optimizes lung function early in the day for asbestosis patients, who have restrictive lung disease. Bathing (A) is less urgent. A rest period (C) may be needed later, not immediately post-breakfast. Chest physiotherapy (D) is typically scheduled later to avoid postprandial discomfort.
Which nursing action is essential during tracheal suctioning?
- A. Using a lubricant such as petroleum jelly
- B. Administering 100% oxygen before and after suctioning
- C. Making sure the suction catheter is open or on during insertion
- D. Assisting the client to assume a supine position during suctioning
Correct Answer: B
Rationale: Administering 100% oxygen before and after suctioning prevents hypoxia during the procedure.
You're educating a patient with pneumonia how to deep breathe by using an incentive spirometer. Which of the following is the correct way to use this device?
- A. Encourage the patient to use it twice a day.
- B. The patient exhales into the device rapidly and then coughs.
- C. The patient inhales slowly from the device until no longer able, and then holds breath for 6 seconds and exhales.
- D. The patient rapidly inhales 10 times from the device and then exhales for 6 seconds.
Correct Answer: C
Rationale: Correct incentive spirometer use involves slow, deep inhalation to maximize lung expansion, holding the breath for 6 seconds to keep alveoli open, and then exhaling . Other options describe incorrect techniques that don't promote effective lung expansion.
The nurse advises the client to make sure to take the entire antibiotic prescription because an untreated or undertreated streptococcal infection can lead to which of the following conditions?
- A. Glomerulonephritis
- B. Chickenpox
- C. Shingles
- D. Whooping cough
Correct Answer: A
Rationale: Untreated group A streptococcal infections can lead to complications like glomerulonephritis, a condition affecting the kidneys, due to an immune response.