The nurse is instructing a patient on collecting a sputum sample. What is the best time for the nurse to collect this specimen?
1. after a meal
2. upon awakening from a nap
3. before a meal
4. upon awakening in the morning
Correct Answer: 4
There is the greatest opportunity to obtain a sputum specimen in the morning. Respiratory secretions pool more during sleep. Patients with respiratory illness cough more when awakening, so sputum collection would be best before daily activities are initiated. There might not be the same opportunity after a nap due to the shortened time frame. Before a meal would not produce the same results, and can tire a patient. Collecting a specimen after a meal would not produce a specimen, and could induce vomiting.
You might also like to view...
Protein-bound medications frequently cause side effects in older adults because
a. Older adults are more susceptible to adverse drug reactions b. Older adults often have a decreased serum albumin level that increases the amount of free drug c. Older adults take many drugs, and adverse drug reactions are primarily caused by polypharmacy d. Older adults do not have adequate kidney function to excrete protein-bound drugs
The nurse is analyzing the intake and output record for a client being treated for dehydration
The client weighs 176 lbs. and had a 24-hour intake of 2,000 mL and urine output of 1,200 mL. Based on this data, which conclusion by the nurse is the most appropriate? A) Treatment needs to include a diuretic. B) Treatment has not been effective. C) Treatment is effective and should continue. D) Treatment has been effective and should end.
Your patient has suffered a cerebrovascular accident (CVA) in the anterior cerebral artery. Which part of his brain would you expect to be damaged?
a. frontal and parietal lobes c. temporal lobe and midbrain b. temporal and occipital lobes d. midbrain and medulla
What can be assessed using percussion?
A) Borders of the heart B) Movement of the diaphragm during expiration C) Borders of the liver D) Rectal distension