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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Incorrect. Maintaining the elbow flexed at a 90-degree angle is a general instruction for cane use but may not be applicable to all clients. It depends on individual comfort and the type of cane being used.
B. Correct. Placing the cane on the stronger side of the body helps to provide stability and support during ambulation, especially for clients with rheumatoid arthritis.
C. Incorrect. Placing the cane forward 5 to 10 cm (2 to 4 in) helps ensure proper positioning and support but is not specifically related to the side of placement.
D. Incorrect. Moving the stronger leg forward first is a general instruction for cane use but may not be specific to all clients or situations
Correct Answer is A
Explanation
A. Applying light pressure to the inner canthus just after instilling the eye drops is the most effective action to minimize systemic absorption. This technique blocks the nasolacrimal duct, preventing the medication from draining into the systemic circulation through the nasal mucosa. This reduces the potential for systemic side effects.
B. Wiping the eye from the inner to the outer canthus with a sterile saline-moistened cotton ball is a cleaning technique to maintain hygiene but does not impact systemic absorption of the medication.
C. Administering the medication drops directly into the lower conjunctival sac is the correct method for instillation, ensuring proper delivery of the medication to the eye. However, this action does not specifically address systemic absorption.
D. Waiting 5 minutes before instilling drops in the other eye is appropriate to prevent dilution of the medication and ensure its effectiveness in each eye. However, this action does not minimize systemic absorption.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.