A nurse is collecting a nasopharyngeal culture on a school-age child. Place the steps in order from the first step the nurse should take to the last step
a. Dip the swab tip into saline.
b. Place the swab in an appropriate culture medium.
c. Ask the child to look up.
d. Gently insert the tip of the swab into one nostril.
e. Label the specimen.
C, A, D, B, E
To obtain a nasopharyngeal culture on a school-age child the first step is to ask the child to look up. Bend the wire so that when the swab is inserted, the tip will go beyond the back of the nares and into the pharyngeal area. Dip the swab tip into saline and gently insert it into one nostril, down to the posterior nasopharynx. Leave it in place for several seconds and then remove it. After the specimen is obtained, place the swabs in the appropriate culture media. Remove gloves and perform hand hygiene. Label the specimen with the infant/child's name, birth date, medical record number, and the time and date of collection. Place it in a biohazard bag and send it to the laboratory with the requisition form for the test(s) to be performed.
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