A patient in the emergency department is complaining of fever, burning with urination, bloody urine, and amenorrhea for 1 month. To evaluate her symptoms, what action by the nurse is best?
A.
Ask the woman if her menstrual periods are usually regular.
B.
Collect a urine sample for a pregnancy test.
C.
Instruct her in obtaining a midstream urine sample.
D.
Obtain an order for an intravenous pyelogram (x-ray of the urinary tract).
ANS: C
This woman has symptoms of a urinary tract infection (UTI) and may be pregnant. A urine sample will help with evaluation of all of her symptoms, but blood in the urine can produce a false-positive pregnancy test. To assist the woman in providing a suitable urine specimen for laboratory testing, the nurse teaches her how to obtain a midstream urine sample. Obtaining an order for an intravenous pyelogram is not indicated at this time.
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