A nurse is delegating the collection of urinary output to an assistive personnel (AP). What should the nurse tell the AP to do while measuring the urine?
Tell the client to wash the urethra before voiding.
Wear gloves when handling a client's urine.
Use a clean measuring cup for each voiding
Compare the amount of output with intake
The Correct Answer is B
a) Tell the client to wash the urethra before voiding: While it is important for patients to maintain hygiene, instructing them to wash the urethra is not a necessary step for APs collecting urine output. It is important for the AP to focus on measuring output.
b) Wear gloves when handling a client's urine: The AP should always wear gloves when handling bodily fluids, including urine, to prevent contamination and the spread of infection.
c) Use a clean measuring cup for each voiding: Using a clean measuring cup is important for accurate measurements, but the focus here should be on wearing gloves and correctly measuring the urine.
d) Compare the amount of output with intake: Comparing output with intake is the responsibility of the nurse, not the AP. The AP should focus on collecting and accurately measuring the urine output.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1"]
Explanation
Label: Cimetidine Chloride 300 mg/5 mL
To calculate the dose in teaspoons:
Determine how many mL contain the ordered dose:
300 mg is the ordered dose. The label shows that 300 mg is in 5 mL.
Therefore, 300 mg = 5 mL.
Convert mL to teaspoons:
1 teaspoon = 5 mL.
Therefore, 5 mL = 1 teaspoon.
So, 1 teaspoon is required to administer the ordered dose of 300 mg.
Correct Answer is D
Explanation
a) Kinking the catheter tubing to obtain a urine specimen: Kinking the catheter tubing can cause backflow of urine, increasing the risk of infection, but it is not as significant a risk factor as improper drainage bag positioning.
b) Emptying the drainage bag every 8 hours or when half full: Properly emptying the drainage bag regularly reduces the risk of infection, as it prevents overfilling and backflow. This practice is usually part of proper care.
c) Failing to secure the catheter tubing to the patient's thigh: Securing the tubing to the thigh is important for preventing pulling or tension, but it’s not as significant in terms of infection risk as the positioning of the drainage bag.
d) Placing the drainage bag on the side rail of the patient's bed: This significantly increases the risk of urinary tract infections (UTIs) as it can cause the urine to flow back into the bladder, a condition called "reflux." The drainage bag should always be kept below the level of the bladder.
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