A nurse is caring for a client who has an indwelling urinary catheter.

The nurse notes that sediment is present in the urine.

Which of the following actions should the nurse take to obtain a sterile urine specimen?

The correct statements that indicate an understanding of discharge teaching for a client recovering from pancreatitis are:

✅ C. "I will eat small, frequent meals." This is recommended to reduce pancreatic stimulation and aid digestion.

✅ E. "I will notify my provider if my urine is dark." Dark urine may indicate worsening jaundice or liver involvement, which requires medical attention.

❌ A. "I will eat fish for dinner at least twice per week." While fish can be part of a healthy diet, the key dietary advice for pancreatitis is to eat low-fat meals. Fatty fish may not be appropriate unless specifically recommended.

❌ B. "I will limit my morning coffee to no more than two cups." Caffeine is not directly contraindicated, but the focus is more on avoiding alcohol and fatty foods. This statement doesn’t reflect core discharge teaching.

❌ D. "I should expect my bowel movements to be pale in color." Pale stools may indicate bile duct obstruction or liver dysfunction and should be reported, not expected.

This is because the first priority for the nurse is to assess the cause of the vomiting and ensure that the NG tube is working properly. If the suction device is malfunctioning, it could lead to gastric distension, nausea and vomiting. The nurse should check the suction settings, tubing, canister and connections for any problems.

Choice A is wrong because replacing the NG tube is not the first action to take.

The nurse should first rule out other causes of vomiting before attempting to reinsert the tube, which could be uncomfortable and risky for the client.

Choice B is wrong because providing oral hygiene care is not the most urgent action to take.

While oral hygiene care is important for comfort and infection prevention, it does not address the underlying cause of vomiting or prevent further complications.

Choice C is wrong because administering an antiemetic medication is not the most appropriate action to take.

The nurse should first identify the cause of vomiting and correct it if possible.

Giving an antiemetic medication without resolving the problem could mask symptoms and delay treatment.