To obtain a clean catch urine sample for a urine culture, which instruction should the practical nurse (PN) provide the client?
Discard the first urine specimen and collect the second voiding.
Place the urine collection cup in the stream of urine while voiding.
Collect the urine specimen immediately upon awakening in the morning.
Void into the bedpan but place toilet tissue in the trash container.
The Correct Answer is B
A. Discard the first urine specimen and collect the second voiding:
Clean catch is from a single void after midstream cleaning, not a separate voiding.
B. Place the urine collection cup in the stream of urine while voiding:
Midstream catch avoids contamination from urethral opening.
C. Collect the urine specimen immediately upon awakening in the morning:
Morning urine may be concentrated but is not required for culture.
D. Void into the bedpan but place toilet tissue in the trash container:
This contaminates the specimen; bedpans not used for clean catch.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Instruct team members to ignore the client's hallucinations: Incorrect; ignoring can increase anxiety; therapeutic acknowledgment is needed.
B. Acknowledge that the client's perception is not real to others: Validates feelings without reinforcing hallucinations, helps maintain reality orientation.
C. Instruct the client to stop scaring the other clients: Confrontational and non-therapeutic.
D. Offer support and reassure the client that he is in a safe place: Reduces anxiety and builds trust.
E. Use simple commands in a calm, soothing voice: Helps with comprehension and reduces agitation.
F. Restrict the client to his room and apply soft wrist restraints: Only used if there is immediate danger to self/others; not indicated here.
Correct Answer is B
Explanation
A. Give a complete bed bath to further assess the client:
This could cause unnecessary pain and discomfort; comfort is the priority.
B. Discuss end-of-life decisions with the client's parents:
The client appears to be in the terminal stage of AIDS. It is appropriate to initiate discussions about palliative and hospice care with family.
C. Call for ambulance transportation to the hospital immediately:
The client’s condition is not unstable; hospitalization may not be indicated at this stage.
D. Remove the fentanyl patch as directed by prescription:
Removing pain control would worsen suffering unless there is a prescription change for adverse effects.
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