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. Instruct the client to take deep, rhythmic breaths. B. Encourage the client to apply a heating pad for 2 hr at a time. C. Remove distractions from the client's room. D. Apply an ice pack to the client's back for 1 hr.

Correct Answer is A

Explanation

A. Deep breathing is a relaxation technique that can help reduce pain by increasing oxygen delivery, decreasing muscle tension, and promoting a sense of calmness. The nurse should instruct the client to breathe slowly and deeply through the nose and exhale through the mouth.
B. Heat therapy may provide relief for muscle-related back pain but should not be applied for prolonged periods as it may cause tissue damage.
C. Minimizing environmental stimuli can help the client focus on relaxation techniques and alleviate pain perception but is not as effective as deep breathing.
D. Ice therapy is typically used for acute pain or inflammation and may not be appropriate for mild, ongoing back pain.

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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

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Explanation

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Correct Answer is A

Explanation

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