A nurse is instructing a female client on how to collect a midstream urine sample. Which statement from the client indicates they understand the procedure?

I will clean the inside of the container with a wipe.

I will urinate a little then stop.

I will use each cleansing wipe twice.

I will use the cleansing wipe from front to back.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Cleaning the inside of the container with a wipe is not recommended. The container provided for a urine sample is sterile, and cleaning it could introduce bacteria, contaminating the sample.

Choice B rationale

The statement “I will urinate a little then stop” is correct. This is part of the process of collecting a midstream urine sample. The initial stream of urine can contain bacteria from the urethra or genital area, so it’s recommended to start urinating, then stop and collect the sample midstream.

Choice C rationale

The statement “I will use each cleansing wipe twice” is incorrect. Each cleansing wipe should only be used once to avoid reintroducing bacteria.

Choice D rationale

The statement “I will use the cleansing wipe from front to back” is correct. This is the proper way to clean the genital area to avoid introducing bacteria from the anal area into the urethra.

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Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale

Nausea and vomiting are common symptoms associated with migraines. Asking about these symptoms can help in assessing the severity of the migraine and planning appropriate interventions.

Choice B rationale

Sensitivity to light, also known as photophobia, is a common symptom of migraines. However, the presence of this symptom alone may not provide a comprehensive understanding of the patient’s condition.

Choice C rationale

While confusion or clouded thinking can occur with migraines, they are not as common as other symptoms such as nausea, vomiting, and sensitivity to light.

Choice D rationale

Feeling weak before the headache starts or currently feeling weak can be associated with migraines, but they are not the most common symptoms.

A. Take the medication with an aspirin to enhance its effectiveness. B. Taking the maximum dose will provide stroke prevention. C. Sustained-release forms can be crushed for easier administration. D. Take the medication with food.

Correct Answer is D

Explanation

Choice A rationale

Taking ibuprofen with aspirin is not typically recommended without a doctor’s advice. Both are nonsteroidal anti-inflammatory drugs (NSAIDs), and taking them together increases the risk of side effects such as stomach bleeding.

Choice B rationale

Ibuprofen is not used for stroke prevention. Aspirin, not ibuprofen, is often used for this purpose because of its antiplatelet effect.

Choice C rationale

Crushing sustained-release forms of medication is generally not recommended because it can lead to a rapid release and absorption of the drug, which increases the risk of side effects.

Choice D rationale

Taking ibuprofen with food is often recommended to reduce the risk of stomach upset.

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A nurse is instructing a female client on how to collect a midstream urine sample. Which statement from the client indicates they understand the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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