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.

Clamp the catheter tubing below the needleless port.

Clamp the catheter tubing for 60 min.

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

Answer and Explanation

The Correct Answer is B

A) Place the specimen in a clean specimen cup. - Urine collected from an indwelling urinary catheter should be obtained using a sterile technique, not placed directly into a clean specimen cup.
B) Clamping the catheter tubing for 10–30 minutes before collecting the sample allows fresh urine to accumulate in the tubing, ensuring a more accurate culture result. The urine should be collected from the designated port using aseptic technique, not from the catheter bag, as stagnant urine may contain contaminants.

C) Clamp the catheter tubing for 60 min. - Clamping the tubing for an extended period can cause urinary retention and discomfort for the client. It is not appropriate for collecting a urine specimen.
D) Only 3–5 mL of urine is needed for a culture. The nurse should collect the appropriate small amount to avoid unnecessary removal of urine.

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

Explanation

Correct Order of Steps: A. Pour 2.54 cm (1 in) of 0.9% sodium chloride solution into the sterile basin. This step ensures the nurse has a sterile solution ready for cleaning the cannula and stoma site. B. Unlock and remove the inner cannula. Removing the inner cannula is necessary to clean it and prevent the buildup of secretions. C. Scrub the inside and outside of the inner cannula with a small brush. Cleaning the cannula thoroughly removes debris and secretions. E. Wipe the inside of the inner cannula with a folded pipe cleaner. The pipe cleaner is used to dry and clear any residual moisture or secretions inside the cannula. D. Cleanse the stoma site with 0.9% sodium chloride solution. Cleansing the stoma site is essential to maintain skin integrity and prevent infection.

A. Tell the client to think about something else. B. Ask the client to describe their support system. C. Ask the client why they're unable to cope. D. Tell the client that everything will be okay.

Correct Answer is B

Explanation

A) Tell the client to think about something else. - This response dismisses the client's feelings and does not address the underlying issue of coping with job loss.
B) Ask the client to describe their support system. - This action allows the nurse to assess the resources available to the client for coping with stress and provides an opportunity to explore potential sources of support.
C) Ask the client why they're unable to cope. - While understanding the reasons behind the client's inability to cope is important, this question may come across as judgmental or dismissive of the client's feelings.

D) Tell the client that everything will be okay. - While offering reassurance is important, it should be done in the context of acknowledging the client's feelings and exploring coping strategies.

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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?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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