Which of the following steps should the nurse perform when obtaining a sputum specimen?
1. Collect at least 30 mL of sputum.
2. Offer mouth care.
3. Take shallow breaths.
4. Wear a mask.
Correct Answer: 2
Rationale 1: At least 1 to 2 teaspoons or 4 to 10 mL should be collected
Rationale 2: Offer mouth care so that the specimen will not be contaminated with microorganisms from the mouth.
Rationale 3: The client should be instructed to breathe deeply and then cough, not take shallow breaths as this would not raise the sputum.
Rationale 4: A mask needs to be worn only if TB is suspected.
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