A female patient with a suspected urinary tract infection is to provide a clean-catch midstream urine specimen for culture and sensitivity testing. What should the nurse do to obtain the specimen?
Tell the patient to clean the urethral area, void a small amount into the toilet, then void directly into a sterile container.
Have the patient empty the bladder completely; then obtain the next urine specimen that the patient is able to void.
Clean the area around the patient's meatus with a povidone-iodine (Betadine) swab and then have the patient void into a sterile specimen cup.
Insert a short sterile "mini" catheter attached to a collecting container into the urethra and bladder to obtain the specimen.
The Correct Answer is A
Choice A rationale
This method is the standard procedure for obtaining a clean-catch midstream urine specimen. The initial voiding washes away organisms near the meatus, and the midstream urine is less likely to be contaminated by bacteria from the skin or urethral area, providing a sample that more accurately represents the bacteria in the bladder.
Choice B rationale
Having the patient empty the bladder completely and then obtaining the next specimen does not ensure a clean-catch sample. This method could lead to contamination of the specimen with bacteria from the skin or urethral area.
Choice C rationale
Cleaning the area with povidone-iodine is not recommended for routine urine culture as it may kill some of the bacteria, leading to a false-negative result. The standard practice is to clean the area with mild soap and water.
Choice D rationale
Inserting a catheter is an invasive procedure and is not the first choice for obtaining a urine specimen. It is used when a patient is unable to provide a clean-catch specimen or if there are specific medical indications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E","F"]
Explanation
Choice A rationale
Hypertension is not a typical manifestation of pyelonephritis. While it can be present due to other underlying conditions, it is not directly related to pyelonephritis.
Choice B rationale
Frequency, or the need to urinate more often, is a common symptom of pyelonephritis as the infection can irritate the bladder and urinary tract.
Choice C rationale
Flank pain is a classic symptom of pyelonephritis. It is usually located on the side of the affected kidney and can be quite severe.
Choice D rationale
Neck pain is not associated with pyelonephritis. It is more likely related to musculoskeletal issues or other non-urinary tract conditions.
Choice E rationale
Costovertebral tenderness, which is tenderness felt on tapping the back where the ribs meet the spine, is indicative of kidney infection and is expected in pyelonephritis.
Choice F rationale
Urgency, or a sudden, strong need to urinate, is another symptom of pyelonephritis due to inflammation and irritation in the urinary system.
Correct Answer is C
Explanation
Choice A rationale
Congestive heart failure is not directly associated with an increased risk of developing acute pancreatitis. While it can contribute to overall health deterioration, it does not cause the condition.
Choice B rationale
Emphysema primarily affects the lungs and does not increase the risk of acute pancreatitis. It is a chronic obstructive pulmonary disease and is unrelated to pancreatic function.
Choice C rationale
Alcohol abuse is a well-known risk factor for acute pancreatitis. It can lead to repeated episodes of inflammation in the pancreas, which can eventually become chronic and lead to acute pancreatitis.
Choice D rationale
Diabetes mellitus is a result of chronic pancreatitis or can be a comorbidity, but it is not a direct cause of acute pancreatitis. However, it can be associated with complications related to the pancreas.
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