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When assisting a child to obtain a sputum specimen, what action should the nurse take?

A. Instruct and demonstrate how to cough deeply from the chest and spit into the specimen cup.
B. Gently wipe a sterile, cotton-tipped applicator along the back of the oropharynx.
C. Insert a soft-tipped catheter through the nares to suction secretions.
D. Use a hard-tipped Yankauer catheter device to remove oral secretions.

Answer :

Final answer:

To obtain a sputum specimen from a child, instruct them on how to cough deeply from the chest and spit into a specimen cup. This method promotes effective mucus collection from the lungs for accurate testing. Demonstrating proper technique can help the child feel more comfortable during the process.


Explanation:

How to Obtain a Sputum Specimen

When assisting a child in obtaining a sputum specimen, the primary action the nurse should take is to instruct and demonstrate how to cough deeply from the chest and spit into the specimen cup. This method is effective because it encourages the production of mucus from the lungs, which is necessary for accurate testing. Here’s how to properly assist:

  1. Position the child comfortably and explain the procedure to ease their anxiety.
  2. Demonstrate the correct technique for deep coughing by making a fist with the hand, palm facing to the side and knuckles pointing diagonally up, held in front of the upper chest.
  3. Instruct the child to bend forward slightly while coughing deeply, which helps mobilize the secretions from the lungs.
  4. Encourage them to spit the mucus into the specimen cup.

This technique is preferred over other methods such as using swabs or suction devices, as it provides a better quality specimen directly from the respiratory tract.


Learn more about sputum specimen collection here:

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