A bed-bound chart has a prescription for routine urinalysis. In which way does the nurse obtain the urine sample for the laboratory?

Insert an indwelling urinary catheter

Insert an intermittent urinary catheter

Cleanse the urinary meatus and provide a sterile container

Pour urine collected from a clean bedpan into a specimen cup

Answer and Explanation

The Correct Answer is C

This is known as a clean-catch urine sample. The nurse cleanses the urinary meatus to reduce the chance of contamination from bacteria on the skin. The patient then collects a urine sample in a sterile container while voiding.

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Correct Answer is ["A","B","D","E"]

Explanation

It is important to explain the procedure in detail before beginning to help the child understand what is happening and reduce anxiety. Having the child blow on a pinwheel during insertion can help distract them and reduce discomfort. A size 10 Fr catheter is appropriate for a toddler-age child ¹². Inserting 2% lidocaine lubricant into the meatus can help reduce discomfort during the procedure.

On the other hand, inserting the catheter about 5 cm may not be appropriate as the depth of insertion varies depending on the child's anatomy. Using firm pressure if resistance is met is not recommended as it can cause injury to the urethra.

A. Presence of exudate B. A number of sutures C. Approximation of edges D. Time of last antibiotic E. Color of the wound bed

Correct Answer is ["A","C","E"]

Explanation

a. Presence of exudate: The presence and amount of exudate can indicate the severity of the infection and the eﬀectiveness of treatment.

c. Approximation of edges: This refers to how well the edges of the wound are coming together and healing, which is important in evaluating the progress of healing.

e. Color of wound bed: The color of the wound bed can also indicate the severity of infection and the eﬀectiveness of treatment.

Therefore, the correct answers are a, c, and e.

The number of sutures and the time of the last antibiotic are important information for the nurse to know, but they do not need to be included in the documentation of the wound assessment and dressing change.

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A bed-bound chart has a prescription for routine urinalysis. In which way does the nurse obtain the urine sample for the laboratory?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse provides care to a toddler-age client and prescribed catheterization to obtain a urine specimen. Which procedure does the nurse implement? (Select all that apply)

Correct Answer is ["A","B","D","E"]

Explanation

The nurse provides care for a patient with an infected surgical wound. The nurse assesses the wound and changes the dressing. Which does the nurse include in the documentation? Select all that apply.

Correct Answer is ["A","C","E"]

Explanation

While the nurse prepares an injection for a client, the needle cap falls on the ﬂoor. Which action indicates that the injection will be sterile?

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