Before obtaining a clean-catch urine specimen, you must first be sure that
A. You throw away the first 30 cc of urine that the patient voids.
B. The perineal area is cleansed with soap and water or antiseptic towelettes.
C. The patient drinks 24 ounces of fruit juice or water.
D. The specimen container has been placed in a pan of ice.
Answer: B
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An adult child brings his father to the emergency department and describes the sudden onset of a panic attack and aggressiveness. After ruling out an infectious process, what action by the nurse is best?
a. Assess the patient for mental illness. b. Perform a mini-mental state exam on the patient. c. Ask about risk factors for delirium. d. Assess the patient for illicit drug use.
A nurse explains the reasons why certain nursing interventions are to be performed on a client. The nurse is aware that this type of teaching is:
a. formal c. kinesthetic b. informal d. learning
The nurse is collecting a capillary blood specimen. Which statement demonstrates proper technique for this procedure?
1. Clean the site with alcohol, and puncture the finger quickly, then collect the first drop of blood. 2. If the puncture site is not bleeding, squeeze the finger as firmly as possible without causing pain. 3. Clean the site with alcohol, puncture the finger, wipe the first drop of blood with gauze, and then collect the specimen. 4. Puncture the finger in the center of the pad, which is more vascular.
The nurse is working with a child who is dehydrated. When the nurse weighs the child and compares the weight obtained with the child's weight prior to the illness, there has been an 8% weight loss
This weight loss means that this child's dehydration is: a. mild c. severe b. moderate d. life-threatening