A nurse is instructing a female client on obtaining a clean catch urine sample. Which of the following statements by the client indicates an understanding of the teaching?
"I should not collect a urine sample when I am menstruating."
"I need to urinate a small amount in the toilet before collecting the sample."
"I should let the urine cool to room temperature before sending it to the lab."
"I will wipe from the back to front with the cleansing cloth."
The Correct Answer is B
A. While menstruation can potentially contaminate the sample, it is still possible to collect a clean catch sample during menstruation if proper technique is used; thus, this statement is not entirely accurate.
B. This is the proper clean catch technique—starting the stream helps flush out any contaminants from the urethra, and then the midstream portion is collected for testing.
C. Urine samples should be sent to the lab promptly while still fresh, or refrigerated if there will be a delay. Letting it cool to room temperature can alter test results.
D. Wiping from front to back is correct to reduce contamination from the perineal area; wiping from back to front increases the risk of introducing bacteria from the rectal area.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While menstruation can potentially contaminate the sample, it is still possible to collect a clean catch sample during menstruation if proper technique is used; thus, this statement is not entirely accurate.
B. This is the proper clean catch technique—starting the stream helps flush out any contaminants from the urethra, and then the midstream portion is collected for testing.
C. Urine samples should be sent to the lab promptly while still fresh, or refrigerated if there will be a delay. Letting it cool to room temperature can alter test results.
D. Wiping from front to back is correct to reduce contamination from the perineal area; wiping from back to front increases the risk of introducing bacteria from the rectal area.
Correct Answer is ["A","B","F","G"]
Explanation
A. Assessment of lower extremities. The presence of edema can indicate fluid retention due to impaired kidney function, which may occur with transplant rejection.
B. Blood pressure (160/100 mmHg). Hypertension is a common sign of acute kidney transplant rejection due to impaired renal perfusion and fluid imbalance.
C. Bowel sounds . Hypoactive bowel sounds are not directly related to transplant rejection; may be due to decreased oral intake or other causes like medications.
D. Lung sounds . Lung fields are clear, which is not indicative of transplant rejection.
E. Sodium level (130 mEq/L). While mildly low, hyponatremia is nonspecific and not a key indicator of rejection.
F. Assessment of incision site. Tenderness over the transplant site suggests inflammation and possible rejection of the transplanted kidney.
G. Creatinine level (3.5 mg/dL from baseline 1.2 mg/dL). A significant increase in creatinine is a primary laboratory marker of kidney transplant rejection.
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