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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Discontinue supplements containing vitamin C 24 hr before the test- Vitamin C can interfere with fecal occult blood testing, leading to false-positive results. Instructing the client to discontinue such supplements helps ensure accuracy.
B. Refrain from consuming pork 7 days before the test- There is no evidence to suggest that consuming pork affects fecal occult blood testing.
C. Place a thick layer of stool on the specimen card- A thin smear of stool is typically used for fecal occult blood testing.
D. Urinate prior to collecting the stool specimen- Urination does not impact fecal occult blood testing.
Correct Answer is C
Explanation
A. Drink citrus juice with meals: Citrus juice may irritate the bladder and worsen urinary incontinence symptoms.
B. Train the bladder by voiding every 5 hr: Voiding on a schedule may help manage urinary incontinence, but the specific interval should be determined based on individual needs, not a fixed timeframe like every 5 hours.
C. Perform pelvic-muscle exercises: Pelvic floor muscle exercises, also known as Kegel exercises, can help strengthen the muscles that control urination, improving urinary continence.
D. Apply adult diapers at bedtime: While using protective garments may be necessary for managing urinary incontinence, it does not address the underlying issue or provide potential improvement.
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