The nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel?

Kinking the catheter tubing to obtain a sterile urine specimen.

Emptying the colostomy drainage bag when 3/4 full.

Assessing placement of a Foley and securing the catheter tubing to the patient's thigh.

Placing the urinary catheter bag on the bed frame of the patient's bed after ambulation.

Answer and Explanation

The Correct Answer is B

Choice A reason: Kinking catheter tubing to obtain a sterile urine specimen is outside the nursing assistive personnel (NAP) scope. This task requires sterile technique and clinical judgment to ensure sample integrity and prevent infection. It’s reserved for licensed nurses due to risks of contamination or catheter damage, which could lead to inaccurate diagnostics or patient harm.

Choice B reason: Emptying a colostomy drainage bag when 3/4 full is appropriate for NAP. This routine task involves measuring output and maintaining hygiene, aligning with NAP’s role in assisting with daily living activities and basic patient care under nurse supervision, ensuring patient comfort and preventing bag leakage or skin irritation.

Choice C reason: Assessing Foley catheter placement and securing tubing requires clinical judgment and specialized training. These tasks involve evaluating catheter function and preventing complications like dislodgement or infection, which are responsibilities of licensed nurses, not NAP, due to the need for professional expertise to ensure patient safety and catheter efficacy.

Choice D reason: Placing the catheter bag on the bed frame is inappropriate for NAP as it risks infection and catheter dysfunction. The bag must remain below bladder level to prevent urine backflow, a principle requiring nurse oversight, not NAP delegation, to avoid complications like urinary tract infections or bladder trauma.

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Correct Answer is B

Explanation

Choice A reason: Diuretics, particularly thiazides, can reduce urinary calcium excretion, potentially decreasing kidney stone risk. However, some diuretics may increase stone formation indirectly, but they are not a primary risk factor compared to genetic predisposition.

Choice B reason: Family history is a well-established risk factor for urolithiasis, as genetic predispositions influence urinary chemistry (e.g., hypercalciuria, hyperoxaluria). Inherited metabolic traits increase stone formation likelihood, making this a significant risk factor for the condition.

Choice C reason: BMI less than 25 (normal weight) is not a risk factor for urolithiasis. Higher BMI (>30) is associated with increased stone risk due to metabolic changes like insulin resistance, making this choice incorrect.

Choice D reason: Hypocalcemia is not typically linked to urolithiasis. Hypercalcemia or hypercalciuria (often genetic) increases calcium stone formation, but low calcium levels do not contribute significantly to stone risk, making this incorrect.

A. I will wipe from the back to front with the cleansing cloth. B. I should not collect a urine sample when I am menstruating. C. I should let the urine cool to room temperature before sending it to the lab. D. I need to urinate a small amount in the toilet before collecting the sample.

Correct Answer is D

Explanation

Choice A reason: Wiping from back to front risks introducing perianal bacteria into the urethra, contaminating the sample. Proper technique involves wiping front to back to minimize contamination, making this statement incorrect and indicative of misunderstanding.

Choice B reason: While menstruation may complicate urine collection, it is not an absolute contraindication. With proper technique (e.g., using a tampon), samples can be collected. This statement reflects a misconception and does not confirm understanding of midstream collection.

Choice C reason: Urine should be sent to the lab promptly or refrigerated to prevent bacterial growth or analyte degradation. Allowing it to cool to room temperature risks inaccurate results, so this statement demonstrates a lack of understanding of proper handling.

Choice D reason: Urinating a small amount into the toilet first flushes out urethral contaminants, ensuring a cleaner midstream sample. This technique is critical for accurate urinalysis or culture, confirming the client’s understanding of the taught procedure.

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The nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?

Correct Answer is B

Explanation

A nurse is instructing a female client on obtaining a midstream urine specimen. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

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