Question

Nurse Hannah is preparing to obtain a sputum specimen from a client. Which of the following nursing actions will facilitate obtaining the specimen?

a) Limiting fluids
b) Having the clients take three deep breaths
c) Asking the client to split into the collection container
d) Asking the client to obtain the specimen after eating

Answer 1

Nurse Hannah should instruct the client to produce a sputum specimen before eating to facilitate an easier and more effective collection. Proper labeling and equipment checks are essential for accurate procedure completion. Clinical analysis of the sample can help in diagnosing conditions indicated by abnormal lung sounds and radiography.

Step-by-step explanation:

To facilitate the collection of a sputum specimen, Nurse Hannah might consider advising the client to produce the sample before eating rather than after. The rationale behind this is that coughing up sputum is generally easier when the stomach is empty, as a full stomach can inhibit the ability to cough effectively. The patient should be in an upright position to help mobilize secretions, and deep breathing exercises can also assist with expectoration. Additionally, ensuring the specimen is correctly labeled with the patient's name and that all equipment is working properly is crucial for the success of the procedure.

From a clinical standpoint, a sputum sample that contains cell and biochemical analysis can reveal organisms responsible for infections such as influenza or other lung conditions. This is exemplified by the case described where the physician, after hearing crepitation in the patient's lungs and observing abnormal radiographic findings, rightly asked for a sputum sample. This aids in the timely and accurate diagnosis of the condition.