What should the nurse do first if a patient is unable to void on demand for a clean-voided specimen?

a. Perform Credé's procedure for the suprapubic area.
b. Catheterize the patient to obtain the specimen.
c. Offer fluids, if allowed, and wait about 30 minutes.
d. Notify the physician that the test cannot be completed.


C
If the patient is unable to urinate on demand, offer fluids if permitted. Allow more time for urine to accumulate in the bladder. Try obtaining a specimen after 30 minutes. If the patient has no urine in the bladder, Credé's would not be useful. The risk for infection precludes the use of catheterization simply to obtain a specimen. If the patient is unable to void after several hours, the physician may need to be called to obtain an order for catheterization.

Nursing

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A patient's most recent blood work reveals low levels of albumin. This assessment finding should suggest the possibility of what nursing diagnosis?

A) Risk for imbalanced fluid volume related to low albumin B) Risk for infection related to low albumin C) Ineffective tissue perfusion related to low albumin D) Impaired skin integrity related to low albumin

Nursing

Which statements accurately portray differences in the effects of alcohol between men and women? Select all that apply

a. Women's gastrointestinal systems have less alcohol dehydrogenase, so less ethanol is oxidized on first pass before it enters the bloodstream. b. Hot coffee increases the metabolic rate and speeds oxidation of ethanol more in men than in women. c. Women have higher proportions of body fat, which absorbs alcohol and releases it slowly. d. The microsomal ethanol-oxidizing system in women is less efficient than in men. e. Women become intoxicated more easily than men.

Nursing

To assess the palpebral conjunctiva, the nurse should:

A) Inspect the conjunctiva from an oblique angle. B) Evert the eyelids. C) Pull the lower lids down. D) Use ophthalmoscopy.

Nursing

Why does giantism occur only in children and adolescents?

a. Their growth hormones are still diminished. b. Their epiphyseal plates have not yet closed. c. Their skeletal muscles are not yet fully developed. d. Their metabolic rates are higher than in adulthood

Nursing