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 C

Explanation

A. Cloudy urine may indicate sediment or the presence of protein but does not necessarily require immediate notification to the provider.

B. A strong odor in the first-voided urine can be normal or due to dehydration or dietary factors, and does not immediately warrant concern.

C. A urine output of 175 mL in 8 hours is significantly low and indicates possible oliguria, which is a concern for impaired renal function and should be reported to the provider.

D. A urine output of 2,200 mL in 24 hours can indicate normal or excessive output (polyuria), but it is less concerning than oliguria and does not require immediate notification.

A. "I may thicken gravies with cornstarch as I cook." B. "Fresh fruits make a good snack option." C. "I may eat 2 cans of soup a day." D. "I will replace table salt with dried herbs."

Correct Answer is C

Explanation

A. Thicken gravies with cornstarch is acceptable as it does not add significant sodium and can be a healthier alternative to flour or other thickening agents.

B. Fresh fruits are indeed a healthy snack option and are encouraged in a heart-healthy diet due to their low sodium and high fiber content.

C. Eating 2 cans of soup a day is concerning because many canned soups are high in sodium, which can exacerbate hypertension. This statement indicates a need for further teaching about sodium intake.

D. Replacing table salt with dried herbs is a positive change that promotes flavor without adding sodium, aligning with heart-healthy dietary recommendations.

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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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