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 {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
Pain Medication:
Fractures are painful, and pain management is essential for the child’s comfort and to prevent complications related to inadequate pain control.
Limb Immobilization:
Immobilization of the fractured arm (e.g., with a splint or cast) is necessary to promote proper alignment and healing of the nondisplaced fracture of the radius and ulna.
Incorrect Options:
Antibiotics: There is no indication of infection, such as an open fracture or systemic signs of infection, which would require antibiotics.
Surgical Consultation: A nondisplaced fracture typically does not require surgical intervention. Conservative treatment with immobilization is sufficient.
Bed Rest: This is not necessary for an isolated arm fracture, as the child can remain mobile.
Correct Answer is C
Explanation
A. Exclude nutritional supplements from the list of medications the client reports: Incorrect. Nutritional supplements are medications and should be included in the medication reconciliation process.
B. Encourage the client to make his own list after he returns to his home: Incorrect. The nurse should be responsible for gathering the complete medication history upon admission, not relying on the client’s list from home.
C. Compare new prescriptions with the list of medications the client reports: This is the correct step in medication reconciliation. The nurse needs to ensure that new medications are compatible with the client's current medications and review any changes.
D. Include any adverse effects of the medications the client might develop: Incorrect. Adverse effects are not part of the medication reconciliation process; the focus is on identifying all current medications, including prescriptions, over-the-counter drugs, and supplements.
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