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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Keep your feet together to provide a tight base of support": Incorrect. Keeping feet together reduces stability; a wide base of support is recommended.
B. "Keep objects away from your center of gravity while lifting": Incorrect. Objects should be kept close to the center of gravity to reduce strain.
C. "Bend at the waist when lifting objects from the floor": Incorrect. Bending at the knees, not the waist, is the correct technique to prevent back injury.
D. "Tighten abdominal muscles to improve balance": Tightening the abdominal muscles provides core stability and reduces the risk of injury when lifting.
Correct Answer is C
Explanation
A. Scheduling meals at 6-hour intervals is inadequate as clients with major burns require frequent, high-calorie intake.
B. A calorie intake of 1,500 per day is insufficient for burn clients, who require significantly higher caloric intake to support healing.
C. Keeping a calorie count helps ensure the client is meeting their increased nutritional needs for wound healing and recovery.
D. A high-protein, high-carbohydrate diet is necessary, not a low-protein diet, to support tissue repair and metabolic demands.
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