A patient with a urinary diversion requires a sterile urine specimen for culture and sensitivity. Which action should the nurse take to obtain the sterile specimen?
a. Have the patient void into a sterile cup after being cleaned.
b. Collect the specimen from a new urine pouch.
c. Insert a sterile catheter into the urinary stoma.
d. Let urine drip from the stoma into a sterile specimen cup.
C
The nurse must catheterize the urinary diversion to obtain a sterile urine sample. A patient with a urinary diversion cannot void. A new urine pouch is clean, not sterile. Letting urine drip from the stoma into a sterile specimen cup does not yield a sterile specimen. The patient's skin is not sterile, and the urine could irritate the skin.
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Which of the following statements accurately describes disease management (select all that apply)?
a. Disease management is care coordination that is organized to achieve specific client outcomes, given fiscal and other resource constraints. b. Disease management supports the physi-cian or practitioner/patient relationship and plan of care. c. Disease management emphasizes preven-tion of exacerbations and complications, utilizing evidence-based practice guide-lines and patient empowerment strategies. d. Disease management evaluates clinical, humanistic, and economic outcomes on an ongoing basis with the goal of improving overall health. e. Disease management is the medical man-agement of chronic disease.
The health care provider suspects that an older adult has a urinary tract infection. A common symptom of the condition early in the infection in the older adult is:
a. Chills b. Flank pain c. Confusion d. Hematuria
The nurse is teaching a community class on healthy growing patterns in children. Which statement by a member of the class demonstrates a need for further teaching?
a. "Vitamin D deficiency in children manifests as scurvy." b. "Vitamin D can reverse the symptoms of rickets unless permanent deformity has occurred." c. "Exposure to the sun is a good source of vitamin D." d. "Milk is a good source of vitamin D."
Timothy's Law became very well-known in the state of New York. What are the implications of Timothy's Law in the other 49 states in the United States?
A. Foster care is often the only workable approach to children in trouble. B. His suicide publicized the need for better support and counseling in schools. C. It demonstrated how helpful it is to families to have insurance coverage. D. It is an example of the success of local collaboration to effect improvement on the state level.