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 B

Explanation

A. Incorrect. While clients have rights to access their medical records, ownership of the actual record typically remains with the healthcare provider or facility.
B. Correct. The HIPAA Privacy Rule mandates that a client's medical information remains confidential and protected, even during emergencies or when disclosed to other healthcare providers for treatment purposes.
C. Incorrect. In most cases, access to a deceased client's medical records is restricted to authorized individuals, such as next of kin or legal representatives, and is subject to privacy laws. D. Incorrect. While clients have the right to view their medical records under HIPAA, this statement does not specifically address the confidentiality aspect of the Privacy Rule.

A. Pallor in the exposed portion of the left foot B. Inability to move the left foot C. Increased warmth of the exposed portion of the left foot D. Ecchymosis in the exposed portion of the left foot E. Paresthesia in the left foot

Correct Answer is ["A","B","D","E"]

Explanation

A. Pallor in the exposed portion of the left foot indicates a possible reduction in blood flow, which is a symptom of compartment syndrome.
B. Inability to move the left foot could suggest nerve damage or significant muscle dysfunction, which are potential consequences of compartment syndrome.
C. Increased warmth of the exposed portion of the left foot is not typically a symptom of compartment syndrome. This condition is more commonly associated with coolness due to impaired blood flow rather than increased warmth.
D. Ecchymosis in the exposed portion of the left foot may be indicative of underlying bleeding or bruising, which can increase compartmental pressure and is a symptom of compartment syndrome.
E. Paresthesia in the left foot, such as tingling or a burning sensation, can be a sign of nerve compression or damage, which is consistent with compartment syndrome.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a newly licensed nurse about the HIPAA Privacy Rule. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is collecting data from a client who has a long-leg cast on his left leg and reports severe pain. Which of the following findings should the nurse identify as an indication that the client might have compartment syndrome? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

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