Basic Nursing SkillsQuestion 107 of 200

Sputum specimen collection is best performed:

a.After the resident has rinsed with an alcohol-based mouthwash, so the sample is not contaminated by mouth bacteria
b.After breakfast, when warm fluids have loosened the secretions and the resident can clear the throat easily
c.Early morning before eating, drinking, or brushing teeth; have the resident rinse the mouth with water, take deep breaths, then cough deeply (from the lungs, not throat clearing) into a sterile container
d.In the evening after dinner, when the resident is tired and coughs more readily into the container

Explanation

Sputum is best collected early morning before eating/drinking/brushing because overnight secretions are most concentrated. Rinse mouth with water (not antibacterial mouthwash, which can alter culture), have the resident take 3-4 deep breaths and then cough from deep in the lungs (saliva is not sputum). Send promptly. Other timings (a, b, d) reduce yield or introduce contamination. Document amount, color, consistency, and odor.

Law Reference: Fundamentals; sputum specimen

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