A Nurse Practitioner Is About to Perform the Advanced Technique

A nurse practitioner is about to perform the advanced technique for an anal pap collection.Which of the following steps would be included? Select all that apply.

A) Inform the patient to avoid enemas and receptive anal intercourse for 24 hours prior to specimen collection.
B) Colonic preparation is not necessary, but the rectum should be emptied before obtaining the sample.
C) Moisten a Dacron-tipped swab with tap water and insert the swab about 4 inches into the anal canal.
D) Perform 1 to 2 spiral rotation movements of the swab against the walls of the rectum and anus as the swab encircles the anal canal during slow withdrawal of the swab.
E) Remove the swab and swirl it for 5 seconds in a container of liquid cytology fluid.
F) Perform a digital rectal examination after the anal Pap to rule out any masses.