A female patient needs to provide a midstream-voided urine specimen for examination. What teaching by the nurse would provide a valid specimen?

a. Use a clean specimen cup for testing.
b. Collect at least 125 to 150 mL of urine.
c. Wash the perineal area with soap and wa-ter.
d. Void some urine and then collect the sample.


D
The nurse instructs the patient to void a small amount of urine and then pass the sterile container under the urine stream to collect urine for a clean-voided urine specimen. A sterile specimen container, not a clean container, is used. Urine testing requires 30 to 60 mL of urine. The nurse provides three antiseptic wipes or cotton balls or gauze soaked in antiseptic solution for perineal cleansing in preparation for the specimen collection.

Nursing

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Decreased urine osmolality is a sign of

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A. "There is nothing to worry about. We will handle it together." B. "Bringing this up is a very positive action on your part." C. "We need to talk about the things you have to live for." D. "I think you should consider all your options prior to taking this action."

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The nurse is caring for a 2-month-old with a cleft palate. The child will undergo corrective surgery at age 3 months. The mother would like to continue breastfeeding the baby after surgery and wonders if it is possible. How should the nurse respond?

A) "There is a good chance that you will be able to breastfeed almost immediately." B) "Breastfeeding is likely to be possible, but check with the surgeon." C) "After the suture line heals, breastfeeding can resume." D) "We will have to wait and see what happens after the surgery."

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