Nokea
Which statements should be included when the nurse instructs a female client about the technique for collecting a clean-catch midstream urine specimen for routine urinalysis? Select all that apply.
- A. Clean the urethral area using several circular motions.
- B. Void into the plastic liner under the toilet seat.
- C. Void a small amount, and then collect a sample of urine.
- D. Mix the antiseptic solution with the collected urine specimen.
- E. Collect the urine in the nonsterile cup.
- F. Drink several caffeinated beverages before collecting the urine.
Correct Answer: A,C
Rationale: Cleaning the urethral area and voiding a small amount before collecting the sample ensure a clean-catch specimen, reducing contamination and ensuring accurate results.
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When the nurse inspects the client's urine specimen, which finding best indicates that the urine contains red blood cells?
- A. The urine appears cloudy.
- B. The urine appears smoky.
- C. The urine appears bright orange.
- D. The urine appears dark yellow.
Correct Answer: B
Rationale: Smoky urine is indicative of hematuria (red blood cells in the urine), a common finding in glomerulonephritis due to kidney inflammation.
Which information should the nurse include when explaining the management of the client's urolithiasis? Select all that apply.
- A. Increase fluid intake to 3 liters per day.
- B. Strain all urine to collect stones for analysis.
- C. Take prescribed analgesics for pain relief.
- D. Avoid all dairy products to prevent stone formation.
- E. Follow a low-sodium diet to reduce stone risk.
- F. Report fever or chills immediately.
Correct Answer: A,B,C,F
Rationale: Increasing fluid intake, straining urine, taking analgesics, and reporting fever or chills are key management strategies for urolithiasis to promote stone passage and prevent complications.
Immediately after the dialysate solution has been instilled, which nursing action is correct?
- A. Clamping the tubing from the infusion
- B. Draining the infused dialysate solution
- C. Restricting the client's movement as much as possible
- D. Encouraging the client to drink fluids
Correct Answer: A
Rationale: Clamping the tubing after instillation allows the dialysate to dwell, facilitating the exchange of waste products.
Which comment is the best response the nurse can offer?
- A. You're a very nice person.
- B. You're a very nice person.
- C. You should expect this at your age.
- D. You're discouraged right now.
Correct Answer: D
Rationale: Acknowledging the client's feelings of discouragement validates their emotional state and opens the door for supportive communication.
The nurse is caring for the client recovering from a percutaneous renal biopsy. Which data indicate the client is complying with client teaching?
- A. The client is lying flat in the saline position.
- B. The client continues oral fluids restriction while on bedrest.
- C. The client uses the bedside commode to urinate.
- D. The client refuses to ask for any pain medication.
Correct Answer: A
Rationale: Post-renal biopsy, lying flat (supine, assuming 'saline' is a typo) prevents bleeding complications, indicating compliance. Fluid restriction is unnecessary, using a commode risks bleeding, and refusing pain meds is unrelated.