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 ["B","D","E"]

Explanation

A. Assessing the client every 4 hours is insufficient; the nurse should assess the client more frequently to monitor for changes in condition and risk factors for falls.

B. Placing a fall-risk identification band on the client's wrist is essential for alerting all staff to the client's fall risk, thereby promoting safety.

C. Keeping the client's room dark at night increases the risk of falls; adequate lighting should be provided to help the client navigate safely.

D. Teaching the client to use the call light encourages them to seek assistance when needed, which can help prevent falls.

E. Keeping the client's bed in the lowest position minimizes the risk of injury if the client attempts to get out of bed without assistance.

A. Wash the area of the puncture thoroughly with soap and water. B. Go to employee health services. C. Complete an incident report. D. Report the incident to the charge nurse.

Correct Answer is A

Explanation

A. Washing the area of the puncture thoroughly with soap and water is the first and most immediate action to reduce the risk of infection and transmission of bloodborne pathogens. This should be done as soon as possible after the injury.

B. Going to employee health services is necessary but should follow immediate first aid measures.

C. Completing an incident report is important for documentation and accountability but is not the immediate priority after a needle-stick injury.

D. Reporting the incident to the charge nurse is necessary for proper protocol but does not take precedence over ensuring the injury is properly cleaned first.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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