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[nclex-expert]

A nurse observes a student nurse obtain a sputum culture from a patient diagnosed with Tuberculosis. Which of the following would need immediate intervention by the nurse.

1. The patient clears the nose and throat and rinses the mouth.
2. The patient to take deep breaths using the diaphragm and cough into a clean container.
3. The student nurse obtains the specimen before breakfast.
4. The student nurse takes the specimen to the laboratory.




Answer 2.


Rational


1. Incorrect answer- correct action decrease contamination of the sputum
2. Correct answer- should use a sterile container
3. Incorrect answer- correct action-decrease contamination of sputum
4. Incorrect answer- correct action- Deliver specimen to the
laboratory within 2 hours to prevent the overgrowth of the
organism.




Reference.
Smeltzer,S, Bare, B.
Medical/Surgical Nursing 10th Ed (2004)


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