When collecting a sputum specimen, the nurse should have the ...

[OSWALD]

When collecting a sputum specimen, the nurse should have the client:
 
  1. Apply sterile gloves.
  2. Clear the throat.
  3. Cough to bring up secretions.
  4. Rinse the mouth with mouthwash prior to the collection.

Question 2

What client response would indicate to the nurse that instruction about a throat culture has not been effective?
 
  1. I need to hyperextend my neck.
  2. I need to say 'ah.'
  3. I will need to sit up.
  4. The nurse will use a light.

[tsternbergh47]

Answer to Question 1

Correct Answer: 3
Rationale 1: The client does not need to put on sterile gloves. The only thing that has to remain sterile is the inside of the collecting container.
Rationale 2: Clearing the throat will not help produce the sputum; the client has to cough.
Rationale 3: Clients need to cough to bring sputum up from the lungs, bronchi, and trachea into the mouth in order to expectorate the specimen into a collecting container.
Rationale 4: The client is allowed to use mouthwash after the collection but not before because the antiseptic could alter the results.

Answer to Question 2

Correct Answer: 1
Rationale 1: The client should extend the tongue when a throat culture is to be taken, not hyperextend the neck
Rationale 2: Saying ah is done when collecting a throat specimen.
Rationale 3: The client will need to sit up when having a throat culture done.
Rationale 4: The nurse will use a light when obtaining a throat culture.

[OSWALD]

Gracias!

[bdobbins]

Excellent