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.
Keep the specimen in a warm area.
Place 1.3 cm (0.5 in) of formed stool into a culture tube.
Avoid placing toilet tissue in the bedpan after defecation.
The Correct Answer is D
Choice A reason: This is incorrect because the client should urinate before the specimen collection to avoid contaminating the stool with urine.
Choice B reason: This is incorrect because the specimen should be kept in a cool area to prevent bacterial growth and decomposition.
Choice C reason: This is incorrect because the client should place at least 2.5 cm (1 in) of formed stool or 15 to 30 mL of liquid stool into a culture tube.
Choice D reason: This is correct because the client should avoid placing toilet tissue in the bedpan after defecation to prevent interfering with the laboratory analysis of the stool.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This is incorrect because suggesting a feeding tube is premature and may alarm the son without knowing the cause of the client's poor appetite.
Choice B reason: This is incorrect because asking why the son thinks the client is not eating may imply that the son is responsible or has the answer, which may make him feel defensive or guilty.
Choice C reason: This is incorrect because dismissing the son's concern as nothing serious may make him feel unheard or invalidated, and may also delay seeking appropriate help for the client.
Choice D reason: This is correct because asking the son to tell more about what happens at mealtime is an open-ended question that shows interest and empathy, and may elicit more information about the client's condition and preferences.
Correct Answer is D
Explanation
Choice A reason: Directing the partner to leave and return once postmortem care is complete is not respectful of the partner's feelings and wishes. The nurse should allow the partner to stay and participate in the postmortem care if they desire.
Choice B reason: Instructing the partner not to touch the client’s body is not compassionate or supportive of the partner's grief. The nurse should encourage the partner to touch, hold, or kiss the client’s body as a way of saying goodbye.
Choice C reason: Placing the client’s personal belongings in a safe location in the facility is a necessary action, but not the priority. The nurse should first ask the partner if they want to keep any of the belongings or give them to the nurse for safekeeping.
Choice D reason: Asking the partner about any rituals they would like to be performed is the most appropriate action. The nurse should respect and facilitate the partner's cultural, religious, or personal preferences for postmortem care.
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