The nurse is often responsible for caring for patients with elimination problems who are undergoing diagnostic testing. For a stool specimen, what is the nurse responsible for?
Mixing the specimen with developer prior to sending to the lab
asking the patient to call the nursing station when the stool specimen has been collected
Leaving this responsibility for the oncoming nurse
obtaining the specimen according to facility procedure
The Correct Answer is D
a) Mixing the specimen with developer prior to sending to the lab: The nurse is not responsible for mixing stool specimens with developer unless specified by a particular test protocol. The nurse typically sends the specimen as is.
b) Asking the patient to call the nursing station when the stool specimen has been collected: While the nurse may inform the patient of the need to call once the specimen is collected, the nurse is ultimately responsible for managing the collection process, not just the patient’s communication.
c) Leaving this responsibility for the oncoming nurse: The nurse is responsible for collecting and handling specimens according to the facility's procedures. The oncoming nurse would take over once the current nurse's shift ends, but the specimen collection should be completed during the current shift.
d) Obtaining the specimen according to facility procedure: The nurse is responsible for obtaining stool specimens following the specific procedures set by the facility to ensure proper collection and handling for accurate results.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) Fecal Impaction: Seepage or leaking of liquid stool often occurs when a patient has a fecal impaction. The liquid stool may leak around the solid mass of stool that is impacted in the colon.
b) Urinary Incontinence: Urinary incontinence refers to the involuntary loss of urine, not stool.
c) Bowel and Bladder training program: While bowel and bladder training programs may be helpful for managing incontinence, they are not the immediate solution for fecal impaction.
Correct Answer is A
Explanation
a) A slowing of the client's heart rate: The Valsalva maneuver (straining during defecation) can cause a transient increase in intra-abdominal pressure, which triggers vagal stimulation, leading to a slowing of the heart rate (bradycardia).
b) A decrease in the client's blood pressure: The Valsalva maneuver may initially cause an increase in blood pressure, followed by a drop after the maneuver is released. The immediate effect is a slowing of the heart rate, not a decrease in blood pressure.
c) An increase in the client's respiratory rate: The Valsalva maneuver typically causes a temporary decrease in respiratory rate due to the strain on the body.
d) A decrease in the client's respiratory rate: The Valsalva maneuver does not typically result in a significant decrease in respiratory rate. Instead, it is more likely to cause a brief alteration in heart rate and blood pressure.
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