Author Question: In explaining to the patient about obtaining a sputum specimen to diagnose tuberculosis, the nurse ... (Read 60 times)

pane00 · **on:** Jul 24, 2018

In explaining to the patient about obtaining a sputum specimen to diagnose tuberculosis, the nurse explains which of the following? (Select all that apply.)

a. Specimens are best obtained in the early morning.
b. Acid-fast bacilli (AFB) smears require three consecutive morning samples.
c. Bacteria accumulate as secretions pool.
d. Specimens should be obtained at bedtime.

Question 2

Care of the client with a suprapubic catheter includes the:

A. Use of clean technique
B. Connection of the tubing to a small abdominal drainage bag
C. Cleansing of the insertion site in a direction toward the drain
D. Promotion of 1500 ml of fluid per day for a client without restrictions

hollysheppard095 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

A, B, C
Specimens for AFB require three consecutive morning samples, and cultures can take up to 8 weeks. The ideal time to collect sputum is early morning because bronchial secretions tend to accumulate during the night. Bacteria also accumulate as secretions pool.

Answer to Question 2

D
D. Encourage client to drink at least 2000 ml of fluids per day if no restrictions.
A. Sterile and clean gloves are used in care.
B. Secure catheter to abdomen with tape or Velcro multipurpose tube holder to reduce tension on insertion site.
C. Use a new piece of moistened gauze to gently clean the base of the catheter, moving up and away from site of insertion.