A nurse is instructing a female client on how to collect a midstream urine sample. Which statement from the client indicates they understand the procedure?

I will clean the inside of the container with a wipe.

I will urinate a little then stop.

I will use each cleansing wipe twice.

I will use the cleansing wipe from front to back.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Cleaning the inside of the container with a wipe is not recommended. The container provided for a urine sample is sterile, and cleaning it could introduce bacteria, contaminating the sample.

Choice B rationale

The statement “I will urinate a little then stop” is correct. This is part of the process of collecting a midstream urine sample. The initial stream of urine can contain bacteria from the urethra or genital area, so it’s recommended to start urinating, then stop and collect the sample midstream.

Choice C rationale

The statement “I will use each cleansing wipe twice” is incorrect. Each cleansing wipe should only be used once to avoid reintroducing bacteria.

Choice D rationale

The statement “I will use the cleansing wipe from front to back” is correct. This is the proper way to clean the genital area to avoid introducing bacteria from the anal area into the urethra.

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Correct Answer is A

Explanation

Choice A rationale

Frothy sputum is a common finding in patients with left-sided heart failure. This is due to fluid accumulation in the lungs (pulmonary edema), which can cause the sputum to become frothy.

Choice B rationale

Dependent edema is more commonly associated with right-sided heart failure. It occurs due to fluid accumulation in the systemic circulation, leading to swelling in the lower extremities.

Choice C rationale

Nocturnal polyuria can occur in heart failure, but it is not a specific sign of left-sided heart failure.

Choice D rationale

Jugular venous distention is a sign of right-sided heart failure, not left-sided heart failure. It occurs due to increased pressure in the right atrium, leading to visible distention of the jugular veins.

A. “A biopsy will be prescribed to rule out malignancy.”. B. “Soak feet in an antiseptic solution daily.”. C. “They are related to excessive foot perspiration.”. D. “They may cause discomfort during walking.”.

Correct Answer is D

Explanation

Choice A rationale

A biopsy is not typically prescribed for plantar warts unless there is suspicion of a more serious condition, such as cancer.

Choice B rationale

Soaking feet in an antiseptic solution daily is not a standard treatment for plantar warts. Standard treatments include salicylic acid, cryotherapy (freezing), and other methods.

Choice C rationale

Plantar warts are not directly related to excessive foot perspiration. They are caused by the human papillomavirus (HPV) entering a cut or break in the skin.

Choice D rationale

Plantar warts may cause discomfort during walking due to their location on the soles of the feet.

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A nurse is instructing a female client on how to collect a midstream urine sample. Which statement from the client indicates they understand the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult patient with left-sided heart failure. What assessment findings should the nurse expect?

Correct Answer is A

Explanation

A nurse in a community health clinic is caring for a patient who has a new diagnosis of plantar warts. What should the nurse include in the teaching plan for this patient?

Correct Answer is D

Explanation

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