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 A

Explanation

A. Reflex incontinence: Reflex incontinence occurs when the bladder muscle contracts and urine leaks out (often in large amounts) without any warning or urge. This is common in clients with nerve damage or spinal cord injuries, making it the correct answer.

B. Urge incontinence: Urge incontinence is characterized by a sudden, intense urge to urinate followed by involuntary urine loss. It is often associated with an overactive bladder, not nerve damage.

C. Stress incontinence: Stress incontinence involves urine leakage during physical activity or exertion (e.g., coughing, sneezing) that increases abdominal pressure. It is not typically related to nerve damage.

D. Overflow incontinence: Overflow incontinence occurs when the bladder is unable to empty properly, leading to dribbling of urine. It is often seen in conditions where the bladder muscles are weak or there is an obstruction. While it can be related to nerve damage, reflex incontinence is more accurate for this scenario.

A. Secure new tracheostomy ties before removing old ones. B. Use aseptic technique. C. Apply suction when inserting the catheter. D. Clean the inner cannula with mild soap and water.

Correct Answer is A

Explanation

A. Secure new tracheostomy ties before removing old ones. Securing the new ties before removing the old ones prevents accidental decannulation of the tracheostomy tube.

B. Use aseptic technique. Aseptic technique should be used to reduce the risk of infection during tracheostomy care.

C. Apply suction when inserting the catheter. Suction should only be applied when withdrawing the catheter, not during insertion, to prevent trauma to the trachea and bronchial tissues.

D. Clean the inner cannula with mild soap and water. The inner cannula should be cleaned with sterile saline or a prescribed solution, not with soap, to avoid irritation and infection.

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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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