A charge nurse overhears a newly licensed nurse providing instructions to a female client on the proper steps to collect a midstream urine specimen. Which of the following statements made by the newly licensed nurse requires the charge nurse to intervene?
"Use the provided towelette to cleanse the area by moving in a back-and-forth motion."
"Start the flow of urine before passing the container under the stream to collect the specimen."
"It will be easier to use your nondominant hand to spread the labia."
"Remove the specimen container before stopping the stream of urine”
The Correct Answer is B
This statement is incorrect and requires correction because it suggests starting the flow of urine before positioning the collection container, which can result in contamination of the specimen. The correct procedure for collecting a midstream urine specimen involves the following steps:
1. Provide the client with a clean urine specimen container.
2. Instruct the client to cleanse the genital area using a provided towelette or antiseptic wipes, wiping from front to back.
3. Instruct the client to start urinating into the toilet or bedpan.
4. As the urine stream continues, the client should pass the collection container into the stream to collect the midstream specimen.
5. Once an adequate amount of urine has been collected (as per the laboratory's instructions), the client should remove the container from the stream of urine. 6. The client can then complete urinating into the toilet or bedpan.
The other statements made by the newly licensed nurse are correct:
"Use the provided towelette to cleanse the area by moving in a back-and-forth motion": This statement correctly instructs the client to cleanse the genital area before collecting the urine specimen.
"It will be easier to use your nondominant hand to spread the labia": This statement is correct as it suggests using the nondominant hand to facilitate the collection process.
"Remove the specimen container before stopping the stream of urine": This statement is correct as it indicates that the container should be removed before completing urination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
Cimetidine is a medication known as a histamine H2 receptor antagonist, commonly used in the treatment of peptic ulcer disease. It works by reducing the production of stomach acid. When teaching a client about cimetidine, it is important to inform them about the timing of taking other medications, specifically antacids.
Antacids, which are used to neutralize stomach acid, can interfere with the absorption of cimetidine if taken simultaneously. Therefore, it is generally recommended to wait at least 1 hour after taking cimetidine before taking an antacid. This allows sufficient time for the cimetidine to be absorbed and start working effectively before neutralizing stomach acid with an antacid.
Correct Answer is A
Explanation
Omeprazole is a proton pump inhibitor (PPI) commonly prescribed to reduce stomach acid production. It is frequently used to treat conditions such as gastroesophageal reflux disease (GERD) and peptic ulcer disease. Acid indigestion, characterized by a burning sensation in the chest or upper abdomen, is a common symptom of excessive stomach acid.
While omeprazole can indirectly alleviate certain symptoms associated with excessive stomach acid, it is not typically used to directly treat or relieve symptoms such as nausea, diarrhea, or headaches. Other medications or interventions may be more suitable for managing these specific symptoms.
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