Author Question: When collecting a sputum specimen, the nurse should have the client: 1. Apply sterile gloves. 2. ... (Read 72 times)

OSWALD · **on:** Jul 23, 2018

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 · **Reply #1 on:** Jul 23, 2018

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.