Author Question: The nurse is preparing to perform an endocervical swab. Which equipment will the nurse require to ... (Read 110 times)

leo leo · **on:** Jun 25, 2018

The nurse is preparing to perform an endocervical swab. Which equipment will the nurse require to collect this specimen? Select all that apply.

1. Microscopic slides.
2. Saline.
3. Cytobrush.
4. Cotton applicator.
5. Fixative.

Question 2

The nurse is performing a vaginal examination on a client post-hysterectomy. Which action by the nurse is appropriate in this situation?

1. Defer the cervical scrape.
2. Use the vaginal wall for the cervical scrape.
3. Tell the client an examination is not needed.
4. Use the surgical stump for the cervical scrape.

tuate · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1, 3, 5
When preparing to obtain an endocervical swam specimen the nurse will need to have microscopic slides, cytobrush, and a fixative. The cell specimens are obtained using a cytobrush. The slides will be used to place the specimen on. The fixative will secure the specimen. The cotton applicator will not be used in place of the cytobrush as it is not as effective in obtaining cells. Saline is used to moisten a cotton-tipped applicator but not used with the cytobrush.

Answer to Question 2

Correct Answer: 4
Clients who have had hysterectomies should have the surgical stump scraped as part of the examination. Important cellular specimens must be obtained from the cervical stump. Deferring the scrape, using the walls of the vagina, or telling the client the examination is not needed would reduce the client's ability to have a comprehensive pelvic examination.