The nurse is preparing to collect a throat culture from a client. ...

[jc611]

The nurse is preparing to collect a throat culture from a client. What client response indicates to the nurse that teaching about this test 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.

Question 2

The nurse needs to obtain a sputum specimen from a client. What should the nurse have the client do?
 
  1. Apply sterile gloves.
  2. Clear the throat.
  3. Cough to bring up secretions.
  4. Rinse the mouth with mouthwash prior to the collection.

[fur]

Answer to Question 1

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.

Answer to Question 2

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.

[jc611]

TYSM

[bulacsom]

Excellent