A nurse is preparing to collect a sputum specimen from a client. Which of the following actions should the nurse take?

Wear sterile gloves to collect the specimen from the client.

Obtain the specimen immediately upon the client waking up.

Wait 1 day to collect the specimen if the client cannot provide sputum.

Ask the client to provide 15 to 20 mL of sputum into the container.

Answer and Explanation

The Correct Answer is B

A. Clean gloves (not sterile) are sufficient for collecting a sputum sample.

B. The best time to collect a sputum specimen is immediately upon waking because secretions accumulate overnight, making it easier to obtain a sample.

C. Waiting a day delays diagnosis and treatment; other techniques can help induce sputum production.

D. Typically, 5 to 10 mL of sputum is sufficient for diagnostic testing.

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Correct Answer is B

Explanation

A. Socialization can promote trust and reduce isolation, so limiting socialization is not beneficial.

B. Speaking in a neutral tone helps build trust and reduces perceived threats in clients with paranoid personality disorder, who may be suspicious of others' intentions.

C. Consistency in caregivers fosters trust, so rotating staff frequently may exacerbate the client's paranoia.

D. Mixing medication with food without the client's knowledge breaches trust and ethical guidelines.

A. Read medication labels at least two times prior to administration. B. Avoid preparing medications for more than two clients at one time. C. Inform clients about the action of each medication prior to administration. D. Complete an incident report if a client vomits after taking a medication.

Correct Answer is B

Explanation

A. Read medication labels at least two times prior to administration: Labels should be read three times (when retrieving, preparing, and administering).

B. Avoid preparing medications for more than two clients at one time: Reduces the risk of medication errors by minimizing task-switching and confusion.

C. Inform clients about the action of each medication prior to administration: While educating clients is essential, it is not always required before every medication.

D. Complete an incident report if a client vomits after taking a medication: An incident report is typically required only for errors or adverse events.

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A nurse is preparing to collect a sputum specimen from a client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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