1. A nurse is planning to collect a stool specimen for ova and parasites
from a client who has diarrhea. Which of the following actions should the
nurse take when collecting the specimen?
A. Instruct the client to defecate into the toilet bowl
-incorrect: The nurse should have the client defecate into a bedpan or
a container for stoolcollection. The toilet water can dilute and
contaminate the liquid specimen.
B.Transfer the specimen to a sterile container
-incorrect: The nurse should place the stool specimen in a clean
container using a tonguedepressor.
C. Refrigerate the collected specimen
-incorrect: The nurse should send the collected stool specimen immediately
to the laboratory after labeling the specimen properly to prevent
contamination with microorganisms and keep thespecimen from getting
cold.
D.Place the stool specimen collection container in a biohazard bag
-The nurse should place the specimen collection container in a biohazard
bag with the client label on the container and the bag for easy
identification. This will also prevent contaminationwith microorganisms.
2. A nurse is caring for a client who has a tracheostomy and requires
suctioning. Which of thefollowing actions should the nurse take?
A.Hyper oxygenate the client before suctioning
-The nurse should use a manual resuscitation bag to hyper oxygenate
the client for severalminutes prior to suctioning.
B.Insert the catheter during exhalation
-incorrect: The nurse should insert the catheter during inhalation
C. Apply suction during insertion of the catheter
-incorrect: Applying suction while inserting the catheter increases the
risk of damage to thetracheal mucosa and removes oxygen from the
airways.
D.Apply suction for no more than 15 secs
-incorrect: The nurse should apply suction for no more than 10 seconds
3. A nurse is providing teaching to a client regarding protein intake.
Which of the followingfoods should the nurse include as an example of
an incomplete protein?
A.Eggs
-incorrect: this is a complete protein, contains all of the essential amino
acids necessary for thesynthesis of protein in the body.
B.Soybeans
-incorrect: this is a complete protein, contains all of the essential amino
acids necessary for thesynthesis of protein in the body.
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