A nurse is to obtain a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter connected to a closed drainage system. The specimen should be collected from:
a. the collection bag c. the collecting tubing
b. the catheter d. the tubing and the collection bag
B
Catheters are designed to allow easy access to obtain specimens without disconnecting the catheter from the tubing. Once the urine leaves the length of the catheter and enters the tubing and collection bag, it is no longer considered sterile.
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A patient is obese. At the bedside is a standard-size blood pressure cuff. The nurse realizes that the use of this cuff will provide which of the following?
a. Accurate readings as long as it is 20% of the circumference of the midpoint of the limb. b. Indistinct readings if the bladder encircles 80% of the adult's arm. c. A falsely low reading if the cuff is wrapped too loosely around the arm. d. Inaccurate readings and needs to be replaced with a larger cuff.
A patient diagnosed with low-risk chronic lymphocytic leukemia (CLL) has recently developed thrombocytopenia. One of the medications utilized to treat this would be
A) dexamethasone, a corticosteroid. B) cisplatin, a chemotherapeutic. C) vincristine, a Vinca alkaloid. D) doxorubicin, a cytotoxic antibiotic.
A client scheduled for surgery wants to continue to wear a religious medal. Which actions by the nurse support the client's religious needs? Select all that apply
A) Keep the medal on the client but remove it once anesthesia is provided. B) Ask the client if wearing a medal is going to ensure a successful surgery. C) Document that the medal is being worn by the client. D) Suggest the client not wear the medal because it will most likely be lost. E) Explain that the medal can be safety pinned to the client's gown.
Basic premises the nurse should include in health teaching for adults with ADHD and significant
others are (more than one premise may be correct) A. ADHD is a genetically transmitted biological condition. B. clients with ADHD respond best to negative reinforcement to modify behavior. C. psychostimulants effective for children with ADHD are rarely helpful for adults. D. cognitive therapy is useful to challenge internalized negative beliefs about self.