A nurse is preparing to perform a fecal occult blood test of stool specimens for a client. Which of the following actions should the nurse plan to take?
Ensure that the stool specimen does not contain urine.
Repeat the test three times using the same stool specimen.
Have the client defecate into a bedpan that contains a small amount of water.
Wear sterile gloves when handling the stool specimen
The Correct Answer is A
Rationale:
A. Ensuring that the stool specimen does not contain urine helps to prevent false-positive results, as blood from urine could interfere with the test.
B. Each fecal occult blood test should be performed using a fresh stool specimen to ensure accuracy.
C. Having the client defecate into a bedpan with water is unnecessary and may interfere with the test.
D. Standard precautions, including wearing gloves, are sufficient for handling stool specimens; sterile gloves are not required for this procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Ensuring that the stool specimen does not contain urine helps to prevent false-positive results, as blood from urine could interfere with the test.
B. Each fecal occult blood test should be performed using a fresh stool specimen to ensure accuracy.
C. Having the client defecate into a bedpan with water is unnecessary and may interfere with the test.
D. Standard precautions, including wearing gloves, are sufficient for handling stool specimens; sterile gloves are not required for this procedure.
Correct Answer is B
Explanation
A. Cleaning around the stoma with a moisturizing soap is not recommended. Moisturizing soaps can leave a residue that may interfere with the adhesion of the skin barrier. The client should use warm water or a mild, non-moisturizing soap to clean the area.
B. Pressing on the skin barrier for 30 seconds to ensure that it adheres is correct. This technique helps secure the barrier to the skin, creating a good seal and reducing the risk of leaks.
C. Cutting an opening in the skin barrier that is 1/2 inch larger than the stoma is incorrect. The opening should be about 1/8 inch larger than the stoma to ensure a snug fit, which helps protect the surrounding skin from exposure to effluent.
D. Applying a thin layer of talc powder around the stoma before placing the appliance is not appropriate. Powders are typically used to manage irritated skin but should be avoided unless specifically recommended by a healthcare provider. Overuse can interfere with the appliance’s adhesion.
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