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
Explanation
A. Limit play with the stuffed toy when out of tent: Doesn’t address infection control inside tent.
B. Allow the child to have the stuffed toy in the tent: Familiar items reduce anxiety; mist tent moisture doesn’t require toy exclusion if clean.
C. Ask the mother to wash the toy daily: Not necessary unless visibly soiled; overburdens family.
D. Spray toy with disinfectant before placing in tent: Disinfectant residue may be harmful to child.
Correct Answer is A
Explanation
A. Lower birth weights: Nicotine and carbon monoxide reduce placental blood flow and oxygen delivery, leading to intrauterine growth restriction.
B. Respiratory distress: Possible but not the most consistent finding in smoking-related outcomes.
C. Anemia: Not a typical direct outcome of maternal smoking.
D. A higher rate of congenital anomalies: Smoking is not strongly linked to structural anomalies compared to other teratogens.
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