To obtain a clean-voided urine specimen for a female patient, the nurse should teach the patient to
a. Cleanse the urethral meatus from the area of most contamination to least.
b. Initiate the first part of the urine stream directly into the collection cup.
c. Hold the labia apart while voiding into the specimen cup.
d. Drink fluids 5 minutes before collecting the urine specimen.
C
The patient should hold the labia apart to reduce bacterial levels in the specimen. The urethral meatus should be cleansed from the area of least contamination to greatest contamination (or front-to-back). The initial steam flushes out microorganisms in the urethra and prevents bacterial transmission in the specimen. Drink fluids 30 to 60 minutes before giving a specimen.
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The perinatal nurse is caring for a patient with preeclampsia. What intervention does the nurse include on this patient's care plan?
A. Administer magnesium sulfate per agency policy. B. Assess the patient's blood pressure every 6 hours. C. Encourage the patient to rest on her back. D. Notify the physician of urine output greater than 30 mL/hr.
After the nurse teaches a client about measures to help reduce the symptoms of premenstrual syndrome, which client statement indicates a need for additional teaching?
A) "I will make sure to take my estrogen supplements a week before my period." B) "I've signed up to join an aerobic exercise class three times a week." C) "I'll cut down on the number of cups of coffee and colas that I drink everyday." D) "I've just quit smoking about a month ago, so that should help."
The master patient index (MPI) saves work because vital information can be obtained from the database rather than rekeyed with each client visit
This decreases the possibility of making a mistake and eliminates the inadvertent creation of duplicate records. Which of the following are key features of an effective MPI? Select all that apply. 1. It is flexible enough to allow inclusion of additional identification. 2. It facilitates the evaluation of client care. 3. It locates records in real time for timely retrieval of information. 4. It is easily reconfigured to accommodate network changes. 5. It can grow to fit an organization of any size.
A 4-year-old child with a sore throat has a temperature of 102.6°F and sits up, and leans forward with the mouth open and tongue out when breathing. What should the nurse suspect this child is experiencing?
A) Mild asthma B) Epiglottitis C) Acute laryngotracheobronchitis D) Spasmodic laryngitis