A nurse is reinforcing teaching with a client about how to collect a stool specimen. Which of the following instructions should the nurse include?
Urinate after the specimen collection.
Place 1.3 cm (0.5 in) of formed stool into a culture tube.
Keep the specimen in a warm area.
Avoid placing toilet tisane in the bedpan after defecation.
The Correct Answer is D
Choice A Reason:
Urinating after the specimen collection is incorrect. While it's important to ensure urine doesn't contaminate the stool specimen during collection, the instruction to urinate after the collection doesn't directly impact the collection process itself. The primary focus is on avoiding contamination of the stool sample with urine or toilet tissue during collection.
Choice B Reason:
Placing 1.3 cm (0.5 in) of formed stool into a culture tube is incorrect. The amount of stool needed for a specimen can vary based on the specific test requirements or laboratory instructions. A fixed measurement, like 1.3 cm of formed stool, might not accurately represent the necessary quantity for all types of stool tests. Specific instructions from the healthcare provider or laboratory should be followed for proper collection.
Choice C Reason:
Keeping the specimen in a warm area is incorrect. Stool specimens are typically collected and stored at room temperature unless otherwise specified by specific test instructions. Placing the specimen in a warm area could alter the characteristics of the sample or promote bacterial growth, potentially affecting test accuracy. The specimen should be handled according to the specific requirements outlined for the particular test.
Choice D Reason:
Avoid placing toilet tissue in the bedpan after defecation is correct. Placing toilet tissue in the bedpan after defecation can contaminate the stool specimen, affecting the accuracy of test results. It's important to collect the stool sample without any contamination from toilet tissue or urine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Including the family member in providing care for the client is incorrect. While involving the family in care might be helpful for some, not all family members might feel comfortable or capable of participating in direct care during such an emotional and difficult time. Asking their preferences and respecting their boundaries is crucial.
Choice B Reason:
Describing a personal experience with the death of a family member is incorrect. Sharing personal experiences could potentially be inappropriate or overwhelming for the family member. It might inadvertently shift the focus away from the client's needs and emotions.
Choice C Reason:
Asking if they have had prior experience with the death of a family member is correct. This approach allows the nurse to understand the family member's prior experiences with death, providing insights into their understanding, fears, and expectations. It also helps the nurse tailor their support accordingly, acknowledging their emotions and offering assistance that aligns with their comfort level.
Choice D Reason:
Suggesting that the family member contact a grief counselor is incorrect. While grief counseling might be beneficial, suggesting it immediately might not address the family member's immediate need or desire to help in the moment. It's essential to acknowledge their offer to help and offer immediate support or guidance that aligns with their comfort level.
Correct Answer is A
Explanation
Choice A Reason:
Type 1 diabetes mellitus is correct. individuals with diabetes, especially Type 1 diabetes mellitus, are at an increased risk of developing cardiovascular disease. Diabetes can contribute to atherosclerosis, increasing the risk of heart disease, stroke, and other cardiovascular complications.
Choice B Reason:
Orthostatic hypotension is not correct. It refers to a drop-in blood pressure when moving from a lying to a standing position and is more related to blood pressure regulation than a direct risk factor for cardiovascular disease.
Choice C Reason:
A BMI of 24 is incorrect because it is within the normal range is not typically considered a significant risk factor for cardiovascular disease. However, higher BMIs, especially in the overweight or obese categories, can increase the risk.
Choice D Reason:
A family history of osteoporosis is incorrect because it is related to bone health and susceptibility to osteoporosis, a condition characterized by weak and brittle bones. While it's an important health consideration, it's not directly linked to cardiovascular disease risk.
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