A nurse is preparing to collect a stool specimen from a client for laboratory testing. Which of the following actions should the nurse take when collecting the specimen?

Transfer the specimen to a cup without it touching the outside of the container.

Wait for 4 hr before sending the specimen to the laboratory.

Collect at least 7.62 cm (3 in) of the client's stool.

Avoid collecting the specimen from areas of the stool that contain blood.

Answer and Explanation

The Correct Answer is A

A. Transfer the specimen to a cup without it touching the outside of the container.: This maintains a clean environment and prevents the spread of microorganisms to others.

B. Wait for 4 hr before sending the specimen to the laboratory.: Specimens should be sent to the lab immediately to ensure accurate results, as changes in temperature and pH can degrade the sample.

C. Collect at least 7.62 cm (3 in) of the client's stool.: Usually, 1 inch (2.5 cm) of formed stool or 15–30 mL of liquid stool is sufficient for testing.

D. Avoid collecting the specimen from areas of the stool that contain blood.: Incorrect. If blood, mucus, or pus is present, these areas should be included in the specimen as they are most likely to contain pathogens.

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Correct Answer is D

Explanation

A. Full range of motion bilateral lower extremities: This is a normal finding and indicates the client has the physical strength and mobility to move safely.

B. Hearing acuity intact: Intact senses allow the client to hear alarms, instructions, and environmental cues, reducing injury risk.

C. Ability to use call light: This is a safety factor, as it means the client can summon help when needed.

D. Oriented to person only: A client who is only oriented to person (and not to place, time, or situation) is confused. Confusion is a major risk factor for falls, pulling at tubes, and other accidental injuries.

A. Apply sterile gloves prior to bathing the client. B. Replace the top linens with a bath blanket. C. Apply clean linens to the bed before bathing the client. D. Fill the basin with hot water.

Correct Answer is B

Explanation

A. Apply sterile gloves prior to bathing the client.: Clean, non-sterile gloves are sufficient for personal hygiene unless there is contact with broken skin or body fluids.

B. Replace the top linens with a bath blanket.: A bath blanket provides warmth and maintains the client's privacy/modesty while the top linens are being laundered.

C. Apply clean linens to the bed before bathing the client.: Linens should be changed after the bath to ensure the new linens stay dry and clean.

D. Fill the basin with hot water.: Water should be warm (usually 43°C to 46°C or 110°F to 115°F) to prevent burns and skin irritation.

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A nurse is preparing to collect a stool specimen from a client for laboratory testing. Which of the following actions should the nurse take when collecting the specimen?

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