The nurse is teaching a client how to collect a sputum specimen. Which steps should the nurse instruct the client to follow when collecting a sputum sample?

Breathe deeply, followed by coughing up the sputum.

Restrict fluids before expectorating the sputum specimen.

Obtain the specimen before bedtime.

Avoid mouth care prior to collecting the sputum.

Answer and Explanation

The Correct Answer is A

Choice A reason:

The correct answer is a) because taking deep breaths followed by coughing helps produce a sputum sample from the lungs, which is necessary for accurate diagnostic testing.

Choice B reason: Restricting fluids before expectorating the sputum specimen is not necessary and may make it more difficult to produce a sample.

Choice C reason: Sputum specimens are best collected in the morning when secretions have accumulated overnight.

Choice D reason: Mouth care should be performed prior to sputum collection to reduce contamination from oral bacteria.

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Correct Answer is B

Explanation

Choice A reason: Bronchoscopy is used for visualizing the airways and not for treating a pneumothorax.

Choice B reason:

The correct answer is b) because absent breath sounds on one side and increasing dyspnea suggest a pneumothorax, which requires chest tube insertion to re-expand the lung.

Choice C reason: Endotracheal intubation is for airway management but does not address the underlying pneumothorax.

Choice D reason: Pulmonary function tests are not relevant in an emergency situation with suspected pneumothorax.

A. Increase frequency of BP assessments. B. Encourage the client to breathe deeply. C. Check the abdominal surgical dressing. D. Review the client's baseline BP trends.

Correct Answer is C

Explanation

Choice A reason: Increasing the frequency of BP assessments is important to monitor the client's condition, but it does not address the potential cause of the drop in blood pressure.

Choice B reason: Encouraging the client to breathe deeply is useful for overall respiratory function but does not address the specific issue of the dropping blood pressure.

Choice C reason:

The correct answer is c) because checking the abdominal surgical dressing can help identify if there is postoperative bleeding or other complications at the surgical site, which could be causing the drop in blood pressure.

Choice D reason: Reviewing the client's baseline BP trends provides useful information but does not address the immediate potential cause of the blood pressure change.

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The nurse is teaching a client how to collect a sputum specimen. Which steps should the nurse instruct the client to follow when collecting a sputum sample?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client arrives at the emergency department (ED) following a motor vehicle collision. The nurse observes the client experiencing increasing dyspnea and notes absent breath sounds on the left side. Which procedure should the nurse prepare the client for?

Correct Answer is B

Explanation

One hour after major abdominal surgery, a client in the postanesthesia care unit (PACU) has a blood pressure (BP) of 136/80 mm Hg. Fifteen minutes later, it is 114/72 mm Hg. Which action should the nurse take first?

Correct Answer is C

Explanation

Which client has the highest risk for developing skin cancer?

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