The patient has an indwelling urinary catheter. What step should the nurse take first to obtain a urine specimen from this patient?

a. Apply sterile gloves for the procedure.
b. Insert a small needle into the drainage tubing.
c. Clamp the drainage tubing for several minutes.
d. Disconnect the catheter and drain the urine into the cup.


C
The nurse clamps the clear drainage tubing below the self-sealing sampling port for 10 to 30 minutes before collecting a urine specimen from an indwelling urinary catheter to allow accu-mulation of fresh urine. Sterile gloves are needed for the perineal preparation for a voided urine specimen; this specimen will come from the catheter. Inserting a needle into the drainage tubing potentially causes a crack or a leak in the tubing because the tubing is not designed for punctur-ing. The nurse avoids disconnecting any sterile drain unless necessary.

Nursing

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A foster mother is caring for an infant who experienced an intrauterine drug exposure to cocaine. The infant often is irritated, and cries for several hours each day

Which of these interventions will assist the infant in developing self-regulatory behaviors? 1. Encouraging the infant to suck as a comfort measure by placing the infant's fingers in the mouth while crying 2. Allowing the infant to cry but observing the infant to prevent injury 3. Swaddling the infant 4 Placing the infant about 15 inches from the TV and turning on an infant show such as Sesame Street

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While starting an intravenous line on the right hand of an unconscious patient, the patient reaches over with his left hand and tries to remove the noxious stimuli. This response is called

a. decorticate posturing. c. withdrawal. b. decerebrate posturing. d. localization.

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The nurse is coordinating the care of victims who arrive at the ED after a radiation leak at a nearby nuclear plant. What would be the first intervention initiated when victims arrive at the hospital?

A) Administer prophylactic antibiotics. B) Survey the victims using a radiation survey meter. C) Irrigate victims' open wounds. D) Perform soap and water decontamination.

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You are just getting caught up with your work when you receive the following phone call: "Hi, this is Deb in the emergency department

We're sending you M.M., a 63-year-old Hispanic woman with a past medical history of coronary artery disease (CAD). Her daughter reports that her mom has become increasingly weak over the past couple of weeks and has been unable to do her housework. Apparently, she has had complaints of swelling in her ankles and feet by late afternoon 'she couldn't wear her shoes' and has nocturnal diuresis × 4. Her daughter brought her in because she has had heaviness in her chest off and on over the past few days but denies any discomfort at this time. The daughter took her to see her family physician who immediately sent her here. Vital signs are 146/92, 96, 24, 99 ° F (37.2 ° C). She has an IV of D5W at 50 mL/hr in her right forearm. Her laboratory results are as follows: Na 134 mEq/L, K 3.5 mEq/L, Cl 103 mEq/L, HCO3 23 mEq/L, BUN 13 mg/dL, creatinine 1.3 mg/dL, glucose 153 mg/dL, WBC 8300/mm3, Hct 33.9%, Hgb 11.7 g/dL, platelets 162,000/mm3. PT/INR, PTT, and urinalysis are pending. She has had her chest x-ray and ECG, and her orders have been written." What additional information do you need from the emergency department (ED) nurse? How are you going to prepare for this patient?

Nursing