An assistive personnel (AP) was feeding a client with a tracheostomy. Later that evening the UAP reports that the client had a coughing spell during the meal. What action by the nurse is best?

Correct Answer: A

Rationale: Correct Answer: A - Assess the client's lung sounds. Rationale: 1. Assessing lung sounds helps determine if the client is experiencing respiratory distress. 2. Coughing during a meal with a tracheostomy can indicate aspiration or airway obstruction. 3. Prompt assessment can prevent potential complications and guide further interventions. Summary: - B: Assigning a different AP does not address the client's immediate respiratory status. - C: Reporting the AP to the manager is not necessary before assessing the client's condition. - D: Requesting thicker liquids does not address the underlying issue of potential aspiration or airway obstruction.

Correct Answer: B

Rationale: The correct answer is B. Sputum specimens are often examined for cancer cells in cases of suspected lung cancer. While foreign bodies (A) can sometimes be identified, they are less common in routine sputum analysis. Pulmonary emboli (C) cannot be detected via sputum examination; imaging studies are required. Inflammation (D) may be inferred from white blood cell counts, but detecting cancer cells is more specific and clinically significant.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.