When collecting a sputum specimen, the nurse should have the client:
1. Apply sterile gloves.
2. Clear the throat.
3. Cough to bring up secretions.
4. Rinse the mouth with mouthwash prior to the collection.
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.
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