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 A

Explanation

A. Obtaining the client's type and cross-match is the first action the nurse should take because it ensures that the client will have compatible blood available for transfusion if needed during surgery.
B. This is important but should only be done after obtaining the client’s type and cross-match.
C. This should be done after obtaining the client’s type and cross-match.

D. While an incident report may be necessary, the immediate priority is to address the oversight and ensure patient safety.

A. When documenting the medication administration B. Before selecting the medication container C. While removing medication from the container D. When providing client education about the medication E. At the client's bedside before administering the medication

Correct Answer is ["B","C","E"]

Explanation

A. Comparing the medication administration record with the medication container should occur before documentation to ensure accuracy.
B. This step ensures that the nurse is administering the correct medication to the client.
C. Comparing the medication against the administration record while removing it from the container helps prevent errors.
D. While important, this step does not directly involve comparing the medication container with the administration record.
E. Verifying the medication at the bedside ensures the right medication is given to the right patient at the right time.

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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

During change-of-shift report, a nurse discovers they overlooked a prescription for a type and cross-match of a client who is to have surgery the next day. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is preparing to administer prescribed medications to a client. According to the rights of medication administration, when should the nurse compare the medication administration record against the medication container? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

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