A nurse in a health clinic is caring for a client who arrived for their initial visit after a positive home pregnancy test. The nurse should identify that which of the following actions should occur during the initial visit?

Choice A rationale

Clean catch urine specimens are not used to test for sexually transmitted infections as these require specific culture tests or nucleic acid amplification tests for accurate detection.

Choice B rationale

Glucose testing in urine helps monitor gestational diabetes or potential diabetes mellitus in pregnant clients. Normal urine glucose levels are typically negligible.

Choice C rationale

Ketones in urine indicate fat metabolism, which can occur during fasting or inadequate carbohydrate intake, and are relevant in the management of diabetic patients.

Choice D rationale

Clean catch urine specimens do not test for testosterone levels, which require serum measurements. Prenatal urine tests focus on glucose, protein, and signs of infection.

Choice B rationale: Breast tenderness is a common symptom of early pregnancy caused by hormonal changes. It generally does not require further investigation unless there are additional concerning signs like lumps or discharge from the nipples.

Choice C rationale: Nausea is another common symptom of early pregnancy due to increased levels of human chorionic gonadotropin (HCG). It is expected and usually does not require further investigation unless it becomes severe and leads to dehydration.

Choice D rationale: Fatigue is a typical symptom in early pregnancy, often due to hormonal changes and increased blood production. It generally does not require further investigation unless accompanied by other symptoms like severe anemia or thyroid dysfunction.

Choice E rationale: Burning with urination is a symptom of a urinary tract infection (UTI) or sexually transmitted infection (STI). Further investigation is necessary to identify the cause and provide appropriate treatment to prevent complications.