Question 64

Take a deep breath and then expectorate.

When providing a sputum specimen, the patient should be instructed to take a deep breath and then expectorate. This method ensures that the specimen collected is from the lungs rather than from saliva or the upper respiratory tract.

A) Collect the stool directly into a sterile container.

This option is incorrect as it pertains to collecting a stool sample, not a sputum specimen. Sputum is related to respiratory secretions, while stool collection is focused on gastrointestinal samples, which are entirely different procedures.

B) Discard the first urine of the day and collect for 24 hr.

This choice is also incorrect because it refers to a urine collection method, specifically for a 24-hour urine test. This process is not relevant to sputum specimen collection, which involves respiratory secretions.

C) Aggressively swab the inside of the cheek.

This option is incorrect as it involves taking a sample from the buccal mucosa, which is not how sputum specimens are obtained. Sputum must come from the lungs, and swabbing the cheek does not fulfill this requirement.

D) Take a deep breath and then expectorate.

This is the correct option as it describes the proper technique for collecting a sputum specimen. Taking a deep breath helps to clear the airways, and expectorating allows the patient to produce a sample that is more representative of lung secretions.

Conclusion

The correct answer, taking a deep breath and then expectorating, is essential for obtaining an accurate sputum specimen. This method distinguishes sputum from saliva and ensures that the sample reflects the patient's pulmonary condition. The other options presented are unrelated to sputum collection, further confirming that they are incorrect.