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 D

Explanation

Choice A reason: Decreased weeping of ulcerations is not the primary expected therapeutic response of urea cream.

Choice B reason: Reduced pain is beneficial but not the primary expected response of urea cream.

Choice C reason: Healing with a return to normal skin appearance may occur over time but is not the immediate expected response of urea cream.

Choice D reason:

The correct answer is d) because urea cream helps hydrate and soften dry skin, which is the primary expected therapeutic response for managing eczema.

A. Frequent use of chewable and liquid antacids for indigestion. B. Upper midabdominal pain described as gnawing and burning. C. Marked loss of weight and appetite over the last 3 or 4 months. D. Severe abdominal cramps and diarrhea after eating spicy foods.

Correct Answer is B

Explanation

Choice A reason: Frequent use of antacids may suggest gastrointestinal issues but is not specific to peptic ulcer disease.

Choice B reason:

The correct answer is b) because upper midabdominal pain described as gnawing and burning is a classic symptom of peptic ulcer disease.

Choice C reason: Marked loss of weight and appetite can be associated with many conditions and is not specific to peptic ulcer disease.

Choice D reason: Severe abdominal cramps and diarrhea after eating spicy foods are not typical symptoms of peptic ulcer disease.

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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 with eczema is applying 10% urea cream onto the affected skin areas. Which finding reflects the expected therapeutic response?

Correct Answer is D

Explanation

The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports this medical diagnosis?

Correct Answer is B

Explanation

The nurse is developing a plan of care for a client with type 2 diabetes mellitus (DM). When providing teaching on lowering blood glucose levels and increasing serum high-density lipoprotein (HDL) levels, which instruction should the nurse include?

A client with eczema is applying 10% urea cream onto the affected skin areas. Which finding reflects the expected therapeutic response?

The parent of an adolescent tells the clinic nurse, "My child has athlete's foot. I have been applying triple antibiotic ointment for two days, but there has been no improvement." Which instruction should the nurse provide?

Which information should the nurse include when giving discharge instructions to a client following a left eye cataract extraction with lens implant?

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?

A client tells the clinic nurse about experiencing burning on urination, and assessment reveals that the client had sexual intercourse four days ago with a person who was a casual acquaintance. Which action should the nurse implement?

Two hours before a client's scheduled surgery, the nurse is completing the preoperative checklist. Which information requires immediate action by the nurse?

An older adult client with long-term type 2 diabetes mellitus (DM) is seen in the clinic for a routine health assessment. Which assessment(s) would the nurse complete to determine if a patient with type 2 diabetes mellitus (DM) is experiencing long-term complications? Select all that apply.