Exam 5: Diagnostic Testing
The nurse is preparing to collect a stool specimen. Place the steps involved in the procedure in the correct order.
Response 1. Provide for client privacy.
Response 2. Assist the clients who need help, either with bedside commode or a bedpan.
Response 3. Perform hand hygiene and observe other appropriate infection control procedures.
Response 4. Apply gloves to prevent contamination, and clean the client as required. Inspect the skin around the anus for any irritation, especially if the client defecates frequently and has liquid stools.
Response 5. Transfer the required amount of stool to the stool specimen container. Use tongue blades to transfer some or all of the stool specimen to the container, taking care not to contaminate the outside of the container.
Response 6. Prior to beginning of procedure, introduce self and verify the client's identity. Explain what is going to be done, why it is necessary, and how the client can help.
6, 3, 1, 2, 4, 5
Explanation:Rationale 1: Providing privacy occurs prior to starting the procedure in which to collect the stool specimen.
Rationale 2: Assisting the client to a bedside commode or a bedpan is done after hand hygiene and providing for client privacy.
Rationale 3: Performing hand hygiene and observing for other appropriate infection control measures is done immediately prior to starting the procedure of collecting a stool specimen.
Rationale 4: Applying gloves, cleaning the client, and inspecting the skin around the anus for irritation is done after performing hand hygiene but prior to obtaining the stool specimen.
Rationale 5: Transferring the correct amount of stool into the specimen container is the last step in stool specimen collection.
The nurse has delegated the collection of a clean catch urine specimen to the assistive personnel (AP). Which statement by the AP indicates an appropriate understanding of the procedure?
C
Which specimens could the nurse safely delegate to assistive personnel (AP) to collect? Select all that apply.
B, D, E
The nurse collects a urine specimen for culture and sensitivity from a client. Which information is essential for the nurse to document on the laboratory slip for this specific diagnostic test?
The nurse is caring for several clients and has an unlicensed assistive personnel (AP) and LPN/LVN assisting. Which task would the nurse delegate to the LPN/LVN as opposed to the AP?
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