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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. "I will need to empty my bladder regularly and completely." Regular and complete bladder emptying helps to flush bacteria from the urinary tract, reducing the risk of UTIs. This statement indicates correct understanding and does not need further teaching.

B. "I will need to wipe my perineal area from back to front after urination." Wiping from back to front can introduce bacteria from the rectal area into the urethra, increasing the risk of UTIs. The correct practice is to wipe from front to back. This statement indicates a need for further teaching.

C. "I need to drink 8 cups of liquid each day." Adequate fluid intake helps to dilute urine and flush out bacteria, reducing the risk of UTIs. This statement is correct and does not need further teaching.

D. "I will need to drink apple cider vinegar each day." Although apple cider vinegar is sometimes suggested as a home remedy, there is no strong evidence supporting its use in UTI prevention. However, this statement does not indicate a harmful practice and may not necessarily need further teaching unless it is replacing evidence-based methods. The key incorrect statement is related to wiping technique.

A. Dilute each medication with 10 mL of tap water. B. Flush the NG feeding tube with 30 mL of water immediately following medication administration C. Maintain the head of the bed in a flat position for 30 min following medication administration.

Correct Answer is B

Explanation

A. Dilute each medication with 10 mL of tap water. Typically sterile or distilled water is preferred for diluting medications to reduce the risk of infection.

B. Flush the NG feeding tube with 30 mL of water immediately following medication administration. Flushing the tube before and after medication administration helps ensure the tube remains patent and the medication is fully delivered.

C. Maintain the head of the bed in a flat position for 30 minutes following medication administration. The head of the bed should be elevated to at least 30-45 degrees to prevent aspiration during and after medication administration.

D. Mix the three medications together prior to administering. Medications should not be mixed together unless compatibility has been confirmed, as mixing can cause interactions or blockages in the tube.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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