A nurse instructs a female client about collecting a midstream urine sample. Which statement made by the client is appropriate from the teaching provided by the nurse?

"I'll use each cleansing wipe twice."

"I'll clean the inside of the container with a wipe."

"I'll urinate a little then stop."

"I'll use the cleansing wipe from front to back."

Answer and Explanation

The Correct Answer is D

A. Using each cleansing wipe twice is not appropriate, as this may cause cross-contamination; each wipe should be used once.

B. Cleaning the inside of the container is unnecessary and may introduce contaminants; only the outside should be kept clean.

C. The correct method involves urinating a little, stopping to allow for midstream collection, and then continuing to urinate; saying "then stop" may confuse the procedure.

D. Using the cleansing wipe from front to back is the correct technique for women to prevent urinary tract infections (UTIs) and ensure proper hygiene during sample collection.

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Correct Answer is A

Explanation

A. Checking the client for allergies is the first step in ensuring the safety of medication administration; it is crucial to verify that the client does not have any known allergies to the medication before proceeding.

B. Documenting that the medication was administered should occur after the medication has been given, not before.

C. Mixing the medication at the client’s bedside is an important step, but it should be done only after confirming that the medication is appropriate for the client.

D. Determining the client's response to the medication occurs after administration, making it a follow-up action rather than a first step.

A. “I will clean and dry the area before applying the patch." B. “I will use lotion on irritated skin before applying a new patch in that area." C. “I will remove the old patch and apply a new one in the same location." D. “I will press the patch securely in place on my forearm."

Correct Answer is A

Explanation

A. Cleaning and drying the area before applying the patch is essential to ensure proper adhesion and effectiveness of the medication. This statement indicates the client understands proper application procedures.

B. Using lotion on irritated skin before applying a new patch can interfere with the patch's ability to adhere and may affect medication absorption. Therefore, this statement indicates a lack of understanding.

C. Removing the old patch and applying a new one in the same location is generally not recommended because it can lead to skin irritation and decreased absorption. This indicates a misunderstanding of proper patch rotation.

D. While pressing the patch securely is important, it is not as critical as ensuring the skin is clean and dry before application. Thus, this statement alone does not indicate full understanding of the teaching.

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A nurse instructs a female client about collecting a midstream urine sample. Which statement made by the client is appropriate from the teaching provided by the nurse?

Nursing Test Bank

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