A.T. asks you, "How will they collect a urine specimen when it just dribbles out all the time?"
How will you answer her?
What will be an ideal response?
The procedure for collecting urine through an ileal conduit is to catheterize gently using a 14 to 16 Fr
catheter through the stoma, using sterile technique. Care is needed to prevent trauma to the stoma
or conduit; some facilities might specify that this is done only by someone with specialized training.
Never force anything into the stoma because perforation can occur as a result of the lack of pressure
receptors in the mucosal tissue used to fashion the conduit.
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A patient is admitted to the unit for treatment for an infection. The patient receives IV amikacin [Amikin] twice a day. When planning for obtaining a peak aminoglycoside level, when should the nurse see that the blood is drawn?
a. 30 minutes after the IV infusion is com-plete b. 1 hour after the IV infusion is complete c. 1 hour before administration of the IV in-fusion d. A peak level is not indicated with twice-daily dosing.
A client is admitted to the hospital with fractures of the left hand and right elbow. Which of the following assessments contains the data that best represent a nursing assessment?
1. X-rays show nonunion fracture of the left hand and comminuted fracture of the right elbow. 2. White blood count differential shifts to left. 3. Neurological testing reveals partial to total nerve involvement to left first digit. 4. Client is unable to perform self-feeding and hygiene measures with two broken upper extremities.
Which of the following best indicates an ethnic characteristic that can affect pharmacotherapy?
1. Genetic differences 2. Diet 3. Health beliefs 4. Alternative therapies
A patient was ordered a cephalosporin medication as a broad-spectrum antibiotic for a severe infection. The nurse knows that which of the following is an important factor about this medication?
A. it is not effective after penicillin use B. it is more effective on gram-positive organisms C. it should not be used by those allergic to penicillin D. it is less effective in resistant organisms