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: The formula infusion rate being too slow typically does not cause diarrhea; instead, it could lead to inadequate nutritional intake.
- B: Administering formula that is too cold can cause diarrhea because the cold temperature can stimulate gastrointestinal motility, leading to increased bowel movements.
- C: A partially obstructed feeding tube is more likely to cause reduced or stopped flow of the formula, potentially leading to inadequate nutrition, rather than diarrhea.
- D: Delayed gastric emptying would typically cause symptoms such as nausea and vomiting, not diarrhea. Diarrhea is more likely when substances pass too quickly through the digestive system.
Correct Answer is B
Explanation
A. Splenomegaly is not typically associated with hepatitis A. Hepatitis A primarily affects the liver and does not usually result in enlargement of the spleen.
B. Abdominal pain is a common symptom of hepatitis A. It can range from mild discomfort to severe pain in the right upper quadrant of the abdomen, where the liver is located.
C. Hepatitis A does not typically cause irregular heart rate. The cardiovascular system is generally unaffected by hepatitis A infection.
D. Tarry stools, also known as melena, typically result from upper gastrointestinal bleeding and are not a characteristic symptom of hepatitis A.
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