A nurse is collecting a sputum specimen from a client for culture and sensitivity. Which of the following actions should the nurse take?

Collect 2 mL of sputum in an emesis basin.

Instruct the client to rinse with an antiseptic mouthwash prior to specimen collection.

Swab the oropharynx with a sterile swab.

Refrigerate the specimen until the time of transport to the laboratory.

Answer and Explanation

The Correct Answer is D

A: Collecting 2 mL of sputum in an emesis basin is not the standard practice as it may not be sterile and could contaminate the specimen.
B: Instructing the client to rinse with an antiseptic mouthwash prior to specimen collection could potentially kill bacteria that need to be cultured, leading to an inaccurate test result.
C: Swabbing the oropharynx with a sterile swab is not the correct method for collecting a sputum specimen for culture and sensitivity, as this method is more suitable for throat cultures.
D: Refrigerating the specimen until the time of transport to the laboratory is the correct action because it preserves the integrity of the sputum sample by slowing down bacterial growth, ensuring that the culture and sensitivity results are accurate. Refrigeration is essential to prevent overgrowth of commensal bacteria that may be present in the specimen.

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Correct Answer is D

Explanation

A. Incorrect. Upper gastrointestinal series typically involve oral ingestion of a contrast medium, not an injection.
B. Incorrect. Clients are usually instructed to fast before an upper gastrointestinal series, not consume breakfast.
C. Incorrect. While it's generally advisable to have someone accompany the client for procedures involving sedation or anesthesia, fluoroscopy itself does not usually require sedation, and the client can typically drive home afterward.
D. Correct. Prior to an upper gastrointestinal series, clients are usually required to drink a contrast medium to outline the digestive tract for fluoroscopy imaging.

A. Restrict the client's fluid intake. B. Keep suction equipment at the client's bedside. C. Instruct the client to look down when ambulating. D. Position the client supine after eating.

Correct Answer is B

Explanation

A. Restricting the client's fluid intake is not appropriate for Parkinson's disease management.

Adequate hydration is important to prevent complications such as constipation and urinary tract infections.
B. Keeping suction equipment at the client's bedside is important because Parkinson's disease can affect swallowing and increase the risk of aspiration. Having suction equipment readily available can help manage secretions and prevent aspiration pneumonia.

C. Instructing the client to look down when ambulating is not specifically related to Parkinson's disease management. Instead, clients with Parkinson's disease may benefit from visual cues and strategies to improve balance and mobility.
D. Positioning the client supine after eating is not recommended, as it may increase the risk of aspiration. Clients with Parkinson's disease may benefit from remaining upright after meals to facilitate digestion and reduce the risk of aspiration.

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A nurse is collecting a sputum specimen from a client for culture and sensitivity. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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