The nurse is collecting a sputum specimen from a client. Which action

The nurse is collecting a sputum specimen from a client. Which action should the nurse take during the collection of this specimen?

1. Collect at least 30 mL of sputum.
2. Offer mouth care.
3. Take shallow breaths.
4. Wear a mask.

ANSWER

Correct Answer: 2
Rationale 1: At least 1 to 2 teaspoons or 4 to 10 mL should be collected.
Rationale 2: Offer mouth care so that the specimen will not be contaminated with microorganisms from the mouth.
Rationale 3: The client should be instructed to breathe deeply and then cough, not take shallow breaths, as this would not raise the sputum.
Rationale 4: A mask needs to be worn only if TB is suspected.