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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
The correct answer is a) because increasing the intake of insoluble fiber can help prevent constipation and reduce the risk of diverticulitis by promoting regular bowel movements.
Choice B reason: Augmenting intake of dairy products is not specific to managing diverticulosis.
Choice C reason: Eliminating caffeine and chocolate is not necessary unless these foods cause symptoms.
Choice D reason: While reducing high-fat foods is good dietary advice, it is not specific to diverticulosis management.
An older adult client with a long history of chronic obstructive pulmonary disease (COPD) is admitted with progressive shortness of breath and a persistent cough. The client is anxious and reports a dry mouth. Which intervention should the nurse implement?
a) Encourage the client to drink water.
b) Administer a prescribed sedative.
c) Apply a high-flow Venturi mask.
d) Assist the client to an upright position.
The correct answer is: d) Assist the client to an upright position.
Choice A reason: Encouraging the client to drink water is beneficial but does not address the immediate need to ease breathing.
Choice B reason: Administering a sedative may help with anxiety but does not directly address the respiratory issue.
Choice C reason: Applying a high-flow Venturi mask may be necessary if oxygen saturation is low, but the first step should be to position the client for optimal breathing.
Choice D reason:
The correct answer is d) because assisting the client to an upright position can help ease breathing by allowing for better lung expansion.
Correct Answer is A
Explanation
Choice A reason:
The correct answer is a) because a mask-like face in Parkinson's disease can affect the ability to chew and swallow, increasing the risk of aspiration and nutritional deficiencies.
Choice B reason: Assessing speech patterns is important but secondary to ensuring the client can chew and swallow safely.
Choice C reason: Noting the frequency of drooling can indicate difficulties with swallowing, but determining the ability to chew and swallow is more critical.
Choice D reason: Observing the appearance of the oral mucosa is important for overall oral health but does not address the immediate risk of aspiration and nutritional concerns.
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