A nurse is preparing to collect a sputum specimen from a client. Which of the following actions should the nurse take?

Wear sterile gloves to collect the specimen from the client.

Obtain the specimen immediately upon the client waking up.

Wait 1 day to collect the specimen if the client cannot provide sputum.

Ask the client to provide 15 to 20 mL of sputum into the container.

Answer and Explanation

The Correct Answer is B

A. Clean gloves (not sterile) are sufficient for collecting a sputum sample.

B. The best time to collect a sputum specimen is immediately upon waking because secretions accumulate overnight, making it easier to obtain a sample.

C. Waiting a day delays diagnosis and treatment; other techniques can help induce sputum production.

D. Typically, 5 to 10 mL of sputum is sufficient for diagnostic testing.

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Correct Answer is C

Explanation

A. The risk of overdose is minimized by the device's programming.

B. The medication is limited based on a preset dose and frequency.

C. PCA pumps deliver a controlled dose of medication, preventing overdose by limiting the amount dispensed.

D. Only the client should press the button to ensure safety.

A. Keep the television on during the night. B. Assist the client to the toilet frequently. C. Raise the side rails up when the client is in bed. D. Place the bedside table at the foot of the bed.

Correct Answer is B

Explanation

A. Keeping the television on at night can cause confusion and disrupt sleep patterns, increasing the risk of injury.

B. Assisting the client to the toilet frequently can prevent falls and reduce the risk of incontinence-related injuries.

C. Raising side rails may increase the risk of injury due to falls or entrapment.

D. Placing the bedside table at the foot of the bed may lead to confusion and increase fall risk.

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A nurse is preparing to collect a sputum specimen from a client. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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