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.

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Using an adhesive remover can help gently remove the colostomy appliance without causing skin irritation or damage. It can aid in maintaining skin integrity around the stoma.
B. Scrubbing the skin around the colostomy can cause skin trauma and increase the risk of infection. Gentle cleansing with warm water and mild soap is recommended.
C. There is typically no need to suction stool from a colostomy bag. Stool drainage occurs naturally into the bag, and suctioning is not a routine part of colostomy care.

D. Colostomy bags should be emptied when they are about one-third to one-half full to prevent

leakage and ensure comfort for the client. Waiting until the bag is three-fourths full may increase the risk of accidental leakage.

A. The client takes ibuprofen daily to treat musculoskeletal pain. B. The client depends on friends for transportation to the clinic. C. The client has difficulty applying their compression stockings D. The client consumes 15 g of fiber daily

Correct Answer is A

Explanation

A: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of bleeding, especially when taken regularly. Given that the client is on warfarin, a blood thinner used to prevent new clots from forming and existing clots from growing larger, the use of ibuprofen could interfere with its effectiveness and increase the risk of a bleeding event. This is a priority concern for a patient with a history of deep-vein thrombosis. B: While transportation is important for the client to receive care, it does not pose an immediate risk to the client's health compared to the potential interaction between ibuprofen and warfarin.
C: Difficulty with applying compression stockings can contribute to discomfort and noncompliance with treatment, which can impede recovery. However, this does not present an immediate risk as significant as the potential drug interaction.
D: Consuming 15 g of fiber daily is generally a positive health behavior and does not present a direct risk to the client's health in the context of deep-vein thrombosis and the current medications.

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A nurse is collecting a sputum specimen from a client for culture and sensitivity. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Patient Data Exhibits

Correct Answer is A

Explanation

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