A nurse is reinforcing teaching with a client about how to collect a stool specimen. Which of the following instructions should the nurse include?

Urinate after the specimen collection.

Keep the specimen in a warm area.

Place 1.3 cm (0.5 in) of formed stool into a culture tube.

Avoid placing toilet tissue in the bedpan after defecation.

Answer and Explanation

The Correct Answer is D

Choice A reason: This is incorrect because the client should urinate before the specimen collection to avoid contaminating the stool with urine.

Choice B reason: This is incorrect because the specimen should be kept in a cool area to prevent bacterial growth and decomposition.

Choice C reason: This is incorrect because the client should place at least 2.5 cm (1 in) of formed stool or 15 to 30 mL of liquid stool into a culture tube.

Choice D reason: This is correct because the client should avoid placing toilet tissue in the bedpan after defecation to prevent interfering with the laboratory analysis of the stool.

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Correct Answer is C

Explanation

Choice A reason: Requesting that the caller contact the client’s provider directly for information is not the best action. The nurse should first determine if the caller has the client’s consent to receive information and if the caller is authorized to do so.

Choice B reason: Asking the caller to contact the client directly for information is not appropriate. The client may not be able to communicate or may not want to share information with the caller. The nurse should respect the client’s privacy and confidentiality.

Choice C reason: Gathering additional information from the caller to verify their identity is the most appropriate action. The nurse should ask the caller for their name, relationship to the client, and other details that can confirm their identity. The nurse should also check the client’s record for any written or verbal consent to disclose information to the caller.

Choice D reason: Providing the caller with a brief update about the client’s condition is not advisable. The nurse should not share any information without verifying the caller’s identity and the client’s consent. The nurse should also follow the provider’s office policy and the Health Insurance Portability and Accountability Act (HIPAA) guidelines for disclosing information.

A. Inject air into the ampule prior to drawing the medication into a syringe. B. Cleanse the tip of the ampule with an alcohol swab after opening. C. Use a filter needle to aspirate the medication. D. Add 0.5 mL of diluent to the medication.

Correct Answer is C

Explanation

Choice A reason: This is incorrect because injecting air into the ampule is not necessary and may cause the medication to spill or spray.

Choice B reason: This is incorrect because cleansing the tip of the ampule with an alcohol swab after opening is not effective and may contaminate the medication.

Choice C reason: This is correct because using a filter needle to aspirate the medication prevents glass particles from entering the syringe and the client.

Choice D reason: This is incorrect because adding diluent to the medication may alter its concentration and potency, and should only be done if instructed by the manufacturer or the prescriber.

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A nurse is reinforcing teaching with a client about how to collect a stool specimen. Which of the following instructions should the nurse include?

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Naxlex Comprehensive Predictor Exams

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