The nurse is instructing the female client how to collect a clean-catch urine specimen, and determines the client understood the instructions when she states:
1. "I will wait to collect the last few drops of urine near the end of my stream."
2. "I will make one swipe from back to front with each of these three antiseptic wipes."
3. "I will be careful not to touch the inside of the container or lid."
4. "I will fill the container as full as possible."
3
Rationale: The client should be cautioned not to touch the inside of the container or lid, to prevent contamination. The client should wipe from front to back to avoid E. coli contamination. The client should begin her stream and allow a few drops to pass before beginning collection, and should obtain 30-60 mL of urine ideally, although most testing can be done with a minimum of 5-10 mL.
You might also like to view...
A nurse assesses a patient's dorsalis pedis pulse. The pulse is easily felt but not palpable when moderate pressure is applied. How should the nurse document this finding?
a. Weak pulse b. Normal pulse c. Thready pulse d. Bounding pulse
The nursing action that should receive highest priority when a client returns from the OR to the PACU is
a. checking the postoperative orders. b. observing the operative site. c. positioning the client. d. receiving the report from OR personnel.
A nurse is caring for a client in the ICU who has a history of cardiac dysrhythmias. The client goes into a state of ventricular tachycardia and the nurse is unable to find a pulse. The code team arrives and delivers a shock of defibrillation to the client at 360 Joules. Which step would the nurse perform next?
a. Provide two manual breaths with a bag and mask b. Assess the client's pulse c. Administer 1 mL of IV epinephrine d. Immediately resume chest compressions
While taking a history of a patient with an enlarged prostate, the nurse expects the patient to report which symptom?
a. Painful urination with each voiding b. Blood in the urine upon arising c. Waking from sleep to urinate d. Incontinence throughout the day