A nurse is caring for a client who needs a stool specimen collected. Which of the following actions should the nurse take when obtaining the specimen?
Label the paper bag in which specimen container is placed.
Send specimen container immediately to the lab.
Use a sterile swab to obtain the specimen.
Place the specimen in a sterile container.
The Correct Answer is B
A. Label the paper bag in which the specimen container is placed. The primary focus should be on labeling the specimen container itself, not just the bag.
B. Send the specimen container immediately to the lab. Sending the specimen to the lab immediately ensures the sample is analyzed while fresh, which is crucial for accurate results.
C. Use a sterile swab to obtain the specimen. Stool specimens do not require sterile swabs; instead, a clean container is used for collection.
D. Place the specimen in a sterile container. Stool samples are typically collected in clean containers, not necessarily sterile ones, as sterility is not required for stool analysis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Body Image: Body image stressors relate to how a person perceives their physical self. This is not relevant to the scenario of work and family stress.
B. Self-esteem: Self-esteem stressors relate to a person’s sense of self-worth. While stress from work and family can affect self-esteem, the primary issue here is more related to role performance.
C. Role performance: Role performance stressors relate to how well an individual perceives they are fulfilling their roles in life, such as work, parenting, or caregiving. The client’s stress about balancing work and family responsibilities indicates a role performance issue. This is the correct answer.
D. Identity: Identity stressors involve a person’s sense of who they are. While stress from work and family can affect identity, the primary issue here is more specifically related to role performance.
Correct Answer is D
Explanation
A. "Your colostomy will not produce formed stool." A sigmoid colostomy is located in the lower part of the large intestine where stool is typically more formed. Therefore, this statement is incorrect and should not be included in the teaching.
B. "You should expect your stoma to be a purple color." A healthy stoma should be pink or red and moist. A purple, dusky, or dark color may indicate compromised blood flow to the stoma and is a sign of a medical emergency. This statement is incorrect.
C. "The end of the stoma will be painful after this procedure." The stoma itself does not have nerve endings, so it should not be painful. Pain around the incision site may occur, but the stoma itself should not be painful. This statement is incorrect.
D. "You will have a stoma in your left lower abdomen." The sigmoid colon is located on the lower left side of the abdomen, so the stoma for a sigmoid colostomy is typically placed in this area. This statement is correct.
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