A nurse is collecting a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?

Place the specimen in a clean specimen cup.

Clamp the catheter tubing below the needleless port.

Clamp the catheter tubing for 60 min.

Remove 45 mL of urine from the catheter with a syringe.

Answer and Explanation

The Correct Answer is B

A) Place the specimen in a clean specimen cup. - Urine collected from an indwelling urinary catheter should be obtained using a sterile technique, not placed directly into a clean specimen cup.
B) Clamping the catheter tubing for 10–30 minutes before collecting the sample allows fresh urine to accumulate in the tubing, ensuring a more accurate culture result. The urine should be collected from the designated port using aseptic technique, not from the catheter bag, as stagnant urine may contain contaminants.

C) Clamp the catheter tubing for 60 min. - Clamping the tubing for an extended period can cause urinary retention and discomfort for the client. It is not appropriate for collecting a urine specimen.
D) Only 3–5 mL of urine is needed for a culture. The nurse should collect the appropriate small amount to avoid unnecessary removal of urine.

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Correct Answer is C

Explanation

A. Occupational therapist- While an occupational therapist may play a role in the client's care, their expertise may not be directly related to addressing concerns about BMI and diet.
B. Pharmacist- The pharmacist's expertise may be valuable in medication management but is not specifically focused on addressing concerns related to BMI and diet.
C. Dietician- A dietician is specialized in nutrition and can provide valuable guidance and interventions for clients with concerns about BMI and dietary habits.
D. Spiritual support personnel- Spiritual support personnel may provide emotional and spiritual support but may not have the expertise needed to address concerns related to BMI and diet.

A. Determine if the client has a support system. B. Schedule a mental health consult for the client. C. Provide the client with information about coping strategies. D. Encourage the client to attend a support group.

Correct Answer is A

Explanation

A) Determine if the client has a support system. - Assessing the client's current support network is essential to determine available resources and potential interventions.
B) Schedule a mental health consult for the client. - While mental health support may be necessary, understanding the client's existing support system is the first step.
C) Provide the client with information about coping strategies. - Providing coping strategies is important but should come after assessing the client's support system.

D) Encourage the client to attend a support group. - Encouraging attendance at support groups can be helpful, but it's important to assess the client's current support system first.

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