When discussing the collection of a clean-voided urine specimen, it is important for the nurse to instruct the client to:
A. Use a clean specimen cup
B. Collect 100 to 150 ml of urine for testing
C. Void some urine first and then collect the sample
D. Wash the perineal area with soap and water immediately before voiding
C
C. After client has initiated urine stream, pass urine specimen container into stream and collect 30 to 60 ml of urine.
A. A sterile specimen container is used.
B. Collect 30 to 60 ml of urine.
D. Pour antiseptic solution over cotton balls. Cotton ball or gauze is used to cleanse perineum.
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A patient with atrial fibrillation is prescribed amiodarone for the dysrhythmia. Which potential adverse reaction should the nurse report?
a. Ataxia b. Decreasing pulse rate c. Decreasing blood pressure d. Increase in cardiac output
What should a nurse explain when a patient with an SCI inquires what the physician means by a cone-down?
a. A cone is surgically placed over the spine to protect the cord. b. Marks will be placed on either side of the injury to mark the area. c. A cone-shaped wedge of bone will be placed between the vertebrae. d. A detailed radiographic image will be taken of the spinal injury.
In order to prevent sepsis in a critical care ventilated patient, which nursing interventions would the nurse include in the patient's plan of care?
1. use clean gloves when conducting endotracheal suctioning 2. position patient in a supine position 3. provide oral care every 2 to 4 hours 4. turn patient from side to side every 8 hours
A 4 year-old has been admitted through the ER because of a diagnosis of the syndrome of Inappropriate Antidiuretic Hormone (SIADH). The nurse will need to monitor for:
1. Rapid weight loss. 2. Laboratory tests for hyponatremia. 3. Decreased turgor. 4. An increase in urine output.