A nurse is collecting a sputum specimen from a client for culture and sensitivity. Which of the following actions should the nurse take?
Collect 2 mL of sputum in an emesis basin.
Instruct the client to rinse with an antiseptic mouthwash prior to specimen collection.
Swab the oropharynx with a sterile swab.
Refrigerate the specimen until the time of transport to the laboratory.
The Correct Answer is D
A: Collecting 2 mL of sputum in an emesis basin is not the standard practice as it may not be sterile and could contaminate the specimen.
B: Instructing the client to rinse with an antiseptic mouthwash prior to specimen collection could potentially kill bacteria that need to be cultured, leading to an inaccurate test result.
C: Swabbing the oropharynx with a sterile swab is not the correct method for collecting a sputum specimen for culture and sensitivity, as this method is more suitable for throat cultures.
D: Refrigerating the specimen until the time of transport to the laboratory is the correct action because it preserves the integrity of the sputum sample by slowing down bacterial growth, ensuring that the culture and sensitivity results are accurate. Refrigeration is essential to prevent overgrowth of commensal bacteria that may be present in the specimen.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
- Choice A Rationale: The epidural PCA (patient-controlled analgesia) is designed with safety mechanisms to ensure that the patient cannot administer a dose that exceeds the prescribed safe limit. This is crucial to prevent potential overdose and complications associated with high doses of analgesics.
- Choice B Rationale: While it is true that some patients may experience reduced mobility in their legs during epidural analgesia, this is not an absolute and can vary based on the dosage and individual response. Therefore, it is not a guaranteed effect and should not be presented as such.
- Choice C Rationale: There is no conclusive evidence to suggest that epidural pain control methods shorten the second stage of labor. In fact, some studies indicate that it may actually prolong it. The primary purpose of epidural PCA is pain management, not altering the labor process timeline.
- Choice D Rationale: Postpartum headaches can be a side effect of epidural anesthesia, but they are not common to all cases. It is associated with a complication known as a post-dural puncture headache, which occurs in a minority of cases. Hence, it should not be stated as a common outcome.
Correct Answer is C
Explanation
A. Accountability refers to the nurse's responsibility to provide safe and competent care, including administering medications accurately and documenting appropriately.
B. Autonomy refers to the client's right to make decisions about their own care, including whether or not to take prescribed medications.
C. Veracity refers to truthfulness and honesty in communication. By providing the client with accurate information about the purpose of the medication, the nurse is demonstrating veracity. D. Justice refers to fairness and equity in the distribution of resources and treatment. While ensuring access to necessary medications is important for justice, it is not directly related to the nurse's communication about the purpose of the medication.
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