A nurse is collecting a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter.
Which of the following actions should the nurse take?

Place the specimen in a clean specimen cup.

Remove 45 mL of urine from the catheter with a syringe.

Clamp the catheter tubing below the needleless port.

Clamp the catheter tubing for 60 min.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Placing the specimen in a clean specimen cup is not appropriate for a urine culture and sensitivity test. A sterile specimen cup is required to avoid contamination and ensure accurate results.

Choice B rationale

Removing 45 mL of urine from the catheter with a syringe is incorrect. Only 5-10 mL of urine is needed for a culture and sensitivity test, and excessive removal can lead to inaccurate test results or sample contamination.

Choice C rationale

Clamping the catheter tubing below the needleless port is the correct action. This allows urine to accumulate in the tubing, providing a fresh and uncontaminated sample for the culture and sensitivity test.

Choice D rationale

Clamping the catheter tubing for 60 minutes is too long and can cause urine stasis, increasing the risk of catheter-associated urinary tract infections. The tubing should be clamped only for a short duration to collect an adequate sample. .

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A,B,C,D,E

Explanation

A. Apply clean gloves.

B. Disconnect the tube from the suction device.

C. Instill 50 mL of air into the tube.

D. Ask the client to take a deep breath.

E. Pinch and withdraw the tube.

A. "The client's condition is stable right now.”. B. "I will tell him you called.”. C. "I cannot confirm or deny that we have a client by that name.”. D. "He is here in the hospital, but I cannot tell you anything else.”. . .

Correct Answer is C

Explanation

Choice A rationale

Stating that the client's condition is stable right now is a breach of patient confidentiality and does not comply with privacy regulations.

Choice B rationale

Telling the employer that the nurse will inform the client about the call is also a breach of confidentiality, as it implies that the client is indeed there.

Choice C rationale

Responding with "I cannot confirm or deny that we have a client by that name" is an appropriate and professional way to protect patient confidentiality and comply with privacy laws.

Choice D rationale

Stating that the client is in the hospital but not providing further details still reveals the client's location, which breaches patient confidentiality and privacy regulations. .

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is collecting a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter.Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to remove an NG tube for a client who is postoperative following colon surgery. In which sequence should the nurse perform the following steps?

Correct Answer is A,B,C,D,E

Explanation

A nurse on a medical-surgical unit receives a telephone call from an individual who identifies himself as the client's employer.The employer asks the nurse about the client's condition.Which of the following is an appropriate response by the nurse?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a group of newly licensed nurses regarding client confidentiality.In which of the following situations can the nurse disclose health information without the client's written consent?

A nurse at a long-term care facility is reinforcing teaching with a newly licensed nurse about the proper use of restraints.Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

A nurse is planning to provide postmortem care for a client who requires an autopsy.Which of the following actions should the nurse plan to take?

A nurse is caring for a young adult client who is postoperative and requires physical therapy, pain management, and dietary advancement.The nurse enters the client's room and finds them dressing and stating that they are going home.Which of the following actions should the nurse take?

A nurse in a long-term care facility is caring for a client who has a tracheostomy.Which of the following actions should the nurse take?

A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

A nurse is setting up a sterile field in a client's room.Which of the following actions should the nurse take?

A nurse is caring for an older adult client who has a hearing aid.Which of the following actions should the nurse take when the client reports hearing a whistling sound from the hearing aid?

A nurse is collecting a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter.
Which of the following actions should the nurse take?