The nurse is teaching a client how to collect a sputum specimen. Which steps should the nurse instruct the client to follow when collecting a sputum sample?

Breathe deeply, followed by coughing up the sputum.

Restrict fluids before expectorating the sputum specimen.

Obtain the specimen before bedtime.

Avoid mouth care prior to collecting the sputum.

Answer and Explanation

The Correct Answer is A

Choice A reason:

The correct answer is a) because taking deep breaths followed by coughing helps produce a sputum sample from the lungs, which is necessary for accurate diagnostic testing.

Choice B reason: Restricting fluids before expectorating the sputum specimen is not necessary and may make it more difficult to produce a sample.

Choice C reason: Sputum specimens are best collected in the morning when secretions have accumulated overnight.

Choice D reason: Mouth care should be performed prior to sputum collection to reduce contamination from oral bacteria.

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Correct Answer is D

Explanation

Choice A reason: Warm, soft, moist, salmon-colored skin is not typical of Cushing's syndrome.

Choice B reason: Visible swelling of the neck, with no pain, is not specific to Cushing's syndrome.

Choice C reason: A husky voice and trouble with hoarseness are not typical of Cushing's syndrome.

Choice D reason:

The correct answer is d) because central-type obesity with thin extremities is a characteristic feature of Cushing's syndrome.

A. Bile-stained emesis. B. Clay-colored stool. C. Distended, hard, and rigid abdomen. D. Radiating, sharp pain in the right shoulder.

Correct Answer is C

Explanation

Choice A reason: Bile-stained emesis indicates an obstruction, but it is not as immediately critical as a distended, hard, and rigid abdomen.

Choice B reason: Clay-colored stool is a sign of bile duct obstruction but is not as urgent as the abdomen findings.

Choice C reason:

The correct answer is c) because a distended, hard, and rigid abdomen suggests peritonitis or a perforated organ, which requires immediate medical intervention.

Choice D reason: Radiating, sharp pain in the right shoulder is common in gallbladder issues but is not as immediately life-threatening as a distended, hard, and rigid abdomen.

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The nurse is teaching a client how to collect a sputum specimen. Which steps should the nurse instruct the client to follow when collecting a sputum sample?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which findings during the admission assessment should the nurse document that are related to a client diagnosed with Cushing's syndrome?

Correct Answer is D

Explanation

A client with cholelithiasis is admitted with jaundice due to obstruction of the common bile duct. Which finding is most important for the nurse to report to the healthcare provider?

Correct Answer is C

Explanation

An older adult client with long-term type 2 diabetes mellitus (DM) is seen in the clinic for a routine health assessment. Which assessment(s) would the nurse complete to determine if a patient with type 2 diabetes mellitus (DM) is experiencing long-term complications? Select all that apply.

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