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 D

Explanation

A. Urinate after the specimen collection- Urinating after collecting the stool specimen does not affect the collection process.
B. Place 1.3 cm (0.5 in) of formed stool into a culture tube- The amount of stool needed for collection depends on the specific instructions provided, but typically, a small amount is sufficient.
C. Keep the specimen in a warm area- Stool specimens are usually kept at room temperature or refrigerated, depending on the specific requirements of the test.
D. Avoid placing toilet tissue in the bedpan after defecation- Placing toilet tissue in the bedpan can contaminate the stool specimen and affect the test results. Instructing the client to avoid doing so helps ensure the integrity of the sample.

A. Use a narrower cuff to repeat the BP measurement. B. Request a prescription for an antihypertensive medication. C. Deflate the cuff faster when repeating the BP measurement. D. Measure the client's BP in the other arm.

Correct Answer is D

Explanation

A) Use a narrower cuff to repeat the BP measurement. - Using a narrower cuff is not appropriate and may result in inaccurate BP readings.
B) Request a prescription for an antihypertensive medication. - This action is premature based on a single elevated BP reading and should be guided by the provider's assessment and recommendations.
C) Deflate the cuff faster when repeating the BP measurement. - The speed of cuff deflation does not significantly affect BP measurement accuracy, and this action may not address the underlying cause of the elevated BP.
D) Measure the client's BP in the other arm. - Confirming the elevated BP with a reading from the other arm can help determine if the elevation is due to positioning or equipment error.

View Question and Answer

Body System	Findings
Neurological	Alert and oriented to person, place, and time; deep tendon reflexes 4+
Musculoskeletal	Generalized weakness with equal bilateral muscle strength and mild leg cramping
Respiratory	: Lungs clear
Cardiovascular	: Heart rate irregular, Heart rate 95/min
Gastrointestinal	Bowel sounds hyperactive x 4 quadrants

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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