Question

a nurse is caring for a client who has pneumonia and has a prescription to collect a sputum specimen. which of the following actions should the nurse plan to take? collect the sputum specimen in the morning. offer the client mouthwash prior to the sputum collection. have the client drink 120 ml of water before the sputum collection. instruct the client to keep coughing up sputum until there is a sample volume of 15 to 20 ml.

Explanation:

To determine the correct action for collecting a sputum specimen from a client with pneumonia:

• Option 1 (Collect in the morning): Sputum is more concentrated in the morning (after not coughing during sleep), making it an appropriate time for collection.
• Option 2 (Offer mouthwash): Mouthwash can contaminate the specimen or alter its composition, so this is incorrect.
• Option 3 (Drink 120 mL water): Drinking water can dilute the sputum, reducing the quality of the specimen, so this is incorrect.
• Option 4 (Cough until 15 - 20 mL): Typically, only a small amount (e.g., 1 - 2 teaspoons) is needed, and excessive coughing isn’t necessary or standard; also, forcing volume can be uncomfortable and isn’t a standard practice.

The most appropriate action is to collect the specimen in the morning.

Answer:

A. Collect the sputum specimen in the morning.