The practical nurse (PN) explains to a client how to obtain a sputum specimen and the client indicates understanding the procedure. After the PN leaves the room, the client obtains the specimen and notifies the PN. When the PN arrives to collect the specimen it appears as seen in the picture (in a non sterile basin with tissue paper). Which action should the PN take?
Place a biohazard bag over the basin and seal the bag securely for transport to the lab.
Assist the client in obtaining another specimen coughed directly into a sterile cup.
Use a wooden applicator to place the sputum specimen in a sterile container.
Apply gloves and place the tissue and specimen in a container for transport to the lab.
The Correct Answer is B
A. Placing a biohazard bag over the basin and sealing it is not appropriate because the specimen should have been collected directly into a sterile container, and the specimen's current state in a non-sterile basin is not acceptable for lab analysis.
B. Assisting the client in obtaining another specimen is necessary to avoid cross contamination.
C. Using a wooden applicator to place the sputum specimen in a sterile container is the incorrect as it breaches sterility.
D. Applying gloves and placing the tissue and specimen in a container is incorrect as the specimen must be in a sterile container from the start. Using a non-sterile basin means the specimen might be contaminated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"}}
Explanation
- Clean the site using sterile gauze and sterile water.
- Indicated: The turban dressing should be changed using sterile techniques to prevent infection and ensure proper wound care.
- Place client in a private room.
- Not Indicated: The client is already on contact precautions for MRSA, so the private room is a general requirement and not a specific intervention for the dressing change.
- Avoid hand sanitizer after the procedure.
- Not Indicated: Hand sanitizer is typically used before and after procedures. For MRSA contact precautions, hand hygiene is critical, and proper hand washing or using hand sanitizer is recommended after the procedure.
- Place the soiled dressing in a red biohazard bag.
- Indicated: The soiled dressing is considered contaminated and should be disposed of in a red biohazard bag to prevent the spread of infection.
- Use sterile gloves to remove the old dressing.
- Indicated: Sterile gloves are required for removing and replacing the dressing to maintain a sterile field and prevent infection.
Correct Answer is ["B","D","E"]
Explanation
A. Bacterial conjunctivitis is not a reportable infectious disease according to the CDC. While it is a common condition, it does not fall under the mandatory reporting requirements for public health.
B. Diphtheria is a reportable disease because it is a severe bacterial infection that can lead to outbreaks and severe health consequences. Reporting helps track and control the spread of this potentially life-threatening disease.
C. Pediculosis (head lice) is not a reportable disease by the CDC. It is a common parasitic infestation but does not require mandatory reporting for public health surveillance.
D. Anthrax is a reportable disease due to its potential for severe illness and its use as a bioterrorism agent. Reporting anthrax is crucial for monitoring and managing outbreaks and potential public health threats.
E. Tuberculosis is a reportable disease because it is a serious infectious disease that can spread in communities and requires public health measures to manage and prevent outbreaks.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today