A patient in the doctor's office needs a throat culture. What should the nurse implement to obtain a proper sample?
a. Instruct the patient to lie flat and tilt head.
b. Apply pressure on the posterior tongue.
c. Avoid touching the swab to any inflamed areas.
d. Obtain the specimen before or 1 hour after meals.
D
The nurse obtains a throat specimen before or 1 hour after a meal to reduce the risk of emesis because many patients cough or gag from the oropharyngeal stimulation. The patient sits upright and tilts the head back for the test. The nurse applies pressure to the anterior tongue only because posterior pressure often stimulates emesis. The nurse obtains a swab of the inflamed area, which is the area most likely to be infected.
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