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

Use sterile gloves to obtain the sputum specimen.

Place the sputum specimen in a clean container.

Collect the sputum specimen in the morning.

Obtain the sputum specimen after the client uses mouthwash.

Answer and Explanation

The Correct Answer is C

A.   Sterile gloves are not necessary for collecting sputum specimens. Clean gloves are typically sufficient.

B.   Sputum specimens should be collected in a sterile container to prevent contamination.
C.   Early morning specimens are preferred due to increased sputum production from the overnight accumulation of secretions.
D.   Mouthwash may contain substances that interfere with sputum culture results, so specimens should be collected before mouthwash use.

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Correct Answer is C

Explanation

A. Using the room number to identify a patient is not reliable since many clients may share it.
B. The telephone number is not typically used for client identification during assessments.
C. The nurse should use the client's name to properly identify the client before performing any assessment or intervention. This is a standard safety measure that helps to prevent errors and ensure quality care.
D. The diagnosis is important for providing appropriate care but is not used for client identification during assessments.

A. "Logrolling helps prevent friction when you are repositioned." B. "Logrolling will keep your spine in alignment." C. "You should keep your arms at your sides while logrolling" D. "The head of your bed will be elevated prior to logrolls”

Correct Answer is B

Explanation

A. Logrolling is primarily used to move clients without twisting the spine or causing friction on pressure areas, rather than specifically to prevent friction.
B. Logrolling is a technique used to maintain the alignment of the client's spine while turning them, reducing the risk of injury, particularly to the spinal cord.

C. Clients are typically instructed to cross their arms over their chest during logrolling to help maintain alignment and protect their arms.
D. While raising the head of the bed may be necessary for certain procedures or to assist with positioning, it is not specifically required for logrolling.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse enters a client's room to perform a focused assessment. Which of the following client information should the nurse use to properly identify the client?

Correct Answer is C

Explanation

A nurse is teaching a client about logrolling while in bed. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

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A nurse is ambulating a client who is unsteady. The client begins to fall. Which of the following actions should the nurse take?

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