A nurse is providing instruction to a client about obtaining a clean-catch urine specimen. Which of the following instructions should the nurse provide?
"Catch the urine that initially comes out."
"Spread your labia with your nondominant hand."
Wash your perineum in a circular motion."
"Cleanse the perineum from back to front."
The Correct Answer is B
A. "Catch the urine that initially comes out." The initial stream may contain contaminants from the urethra or perineum. For a clean-catch specimen, the first portion should be voided into the toilet, and the midstream should be collected in the container.
B. "Spread your labia with your nondominant hand." Spreading the labia exposes the urethral opening and helps prevent contamination of the urine sample from surrounding tissues. It is an essential step in proper clean-catch technique.
C. "Wash your perineum in a circular motion." The recommended cleaning motion is front to back, not circular. Circular motion does not ensure proper directionality to avoid contamination from the anal area.
D. "Cleanse the perineum from back to front." Cleaning from back to front increases the risk of introducing fecal organisms into the urethra and should be avoided. Proper hygiene involves cleansing from front to back.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Dark brown emesis: This may indicate the child swallowed old blood during or after surgery, which can be expected shortly after a tonsillectomy. It should be monitored but is not as urgent as signs of active bleeding.
B. Blood-tinged mucus: Slight blood-tinging in mucus is common in the immediate postoperative period and usually resolves without intervention. It does not necessarily indicate active or life-threatening bleeding.
C. Frequent swallowing: Frequent swallowing can indicate bleeding at the surgical site, especially if the child is not actively eating or drinking. This is a subtle but critical sign of hemorrhage and requires immediate assessment and possible intervention.
D. Sore throat: Pain is an expected finding following a tonsillectomy. Although it should be managed for comfort, it is not an urgent or life-threatening concern in the postoperative period.
Correct Answer is C
Explanation
A. "Give your son plenty of alone time with his sister." While supervised interaction is important, unsupervised alone time is not recommended for preschoolers and newborns due to safety concerns. Young children may not fully understand appropriate handling or boundaries.
B. "Plan for your son to meet his sister for the first time at home." Introducing the baby at the hospital is generally encouraged, as it allows for early bonding in a supportive environment. Waiting until home may delay adjustment and could create feelings of exclusion.
C. "Give your son a little gift from his new sister." This strategy helps reduce feelings of jealousy and promotes positive associations with the new baby. It can make the older sibling feel acknowledged and included in the family transition.
D. "Hold your daughter when your son first meets her." Holding the baby during the first introduction may make the older child feel displaced. Allowing the parent to focus attention on the older sibling during the initial meeting can foster reassurance and connection.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.