The nurse instructs a woman about providing a clean-catch urine specimen. Which of the following statements indicates that the patient correctly understands the procedure?
a. "I will be sure to urinate into the ‘hat' you placed on the toilet seat."
b. "I will wipe my genital area from front to back before I collect the specimen midstream."
c. "I will need to lie still while you put in a urinary catheter to obtain the specimen."
d. "I will collect my urine each time I urinate for the next 24 hours."
B
To obtain a clean-catch urine specimen, the nurse should instruct the patient to cleanse the genital area from front to back and collect the specimen midstream. This follows the principle of going from "clean" to "dirty." The nurse should have the ambulatory patient void into a "hat" (container for collecting the urine of an ambulatory patient) when monitoring urinary output, but not when obtaining a clean-catch urine specimen. A urinary catheter is required for a sterile urine specimen, not a clean-catch specimen. A 24-hour urine collection may be necessary to evaluate some disorders but a clean-catch specimen is a one-time collection.
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Which of the following beliefs is an essential component of holistic healthcare? Select all that apply
a. Illness occurs when there is a shift in an individual's balance. b. Regardless of the type of care received, ultimately all healing is self-healing. c. More healthcare resources should be focused on alternative healers. d. Illness can create an opportunity for personal and spiritual growth.
A baby with brachial plexus injury is being discharged home. What information should the nurse include on the teaching plan?
A. Encourage the baby to move the arm by holding out toys to reach for. B. Keep the baby's arm in the sling for 23 out of every 24 hours. C. Perform passive range-of-motion exercises to affected extremity. D. Return to the hospital on day 7 for microsurgical repair.
Which of the following nursing practices commonly performed in the geriatric medical unit of a hospital is most in need of modification or correction?
A) Patients are regularly prompted to practice deep-breathing and coughing exercises in order to mobilize secretions and prevent atelectasis. B) Patients at risk for urinary incontinence are catheterized in order to reduce the risk of urinary tract infections. C) Reality orientation is provided to patients who exhibit cognitive deficits. D) The discharge planning process is begun immediately following admission.
The school nurse is working with a 13-year-old boy who recently was diagnosed with insulin-dependent diabetes. Which of the following would be one of the areas on which the teaching discussion should focus?
1. Encouraging the boy to tell his friends about healthy nutrition, so they are not tempting him with fast food 2. Referring the boy to a psychologist in order to deal with the new diagnosis 3. Reminding the boy of the activities in which he can continue to participate just as he did before the diagnosis 4. Making sure the boy tells everyone about his diagnosis in case there is a problem