A nurse instructs a female client about collecting a midstream urine sample. Which statement made by the client is appropriate from the teaching provided by the nurse?

"I'll use each cleansing wipe twice."

"I'll clean the inside of the container with a wipe."

"I'll urinate a little then stop."

"I'll use the cleansing wipe from front to back."

Answer and Explanation

The Correct Answer is D

A. Using each cleansing wipe twice is not appropriate, as this may cause cross-contamination; each wipe should be used once.

B. Cleaning the inside of the container is unnecessary and may introduce contaminants; only the outside should be kept clean.

C. The correct method involves urinating a little, stopping to allow for midstream collection, and then continuing to urinate; saying "then stop" may confuse the procedure.

D. Using the cleansing wipe from front to back is the correct technique for women to prevent urinary tract infections (UTIs) and ensure proper hygiene during sample collection.

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Correct Answer is C

Explanation

A. Knowing the client's height can be helpful for ergonomic considerations, but it is not critical for the transfer process.

B. The client's ability to communicate is important for understanding their needs and preferences but does not directly impact the physical safety of the transfer.

C. The client's current weight-bearing status is crucial to determine the safest method of transfer. If the client cannot bear weight, additional assistance or equipment may be necessary to prevent falls or injury.

D. While knowing the type of equipment used in previous transfers can provide insight, it is secondary to understanding the client's current physical capabilities and needs.

A. Kussmaul respirations B. Apneustic respirations C. Stridor D. Cheyne-Stokes respirations

Correct Answer is D

Explanation

A. Kussmaul respirations are characterized by deep, rapid breathing typically associated with metabolic acidosis, not alternating periods of hyperventilation and apnea.

B. Apneustic respirations involve prolonged inspiration and shorter expiration phases, usually seen in brain injuries, but do not reflect alternating hyperventilation and apnea.

C. Stridor is a high-pitched wheezing sound indicative of upper airway obstruction, which does not describe the breathing pattern in this scenario.

D. Cheyne-Stokes respirations are defined by alternating periods of deep, rapid breathing (hyperventilation) followed by periods of no breathing (apnea), making this the correct choice for the client’s described pattern.

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A nurse instructs a female client about collecting a midstream urine sample. Which statement made by the client is appropriate from the teaching provided by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to transfer a client from lying in bed to sitting in a chair. When identifying the safest method of transfer, which of the following is most important for the nurse to determine?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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