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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Correct Answer is D

Explanation

Choice A rationale

Vitamin K is not the antidote for heparin. It is used to reverse the effects of warfarin, which is a vitamin K antagonist.

Choice B rationale

Iron is not related to the reversal of heparin. It is a mineral that is crucial for many bodily functions, including the transport of oxygen in the blood.

Choice C rationale

Glucagon is a hormone that raises the level of glucose in the blood. It is not used as an antidote for heparin.

Choice D rationale

Protamine is the correct choice. Protamine sulfate is a drug that reverses the anticoagulant effects of heparin by binding to it and forming a stable complex, thereby neutralizing its anticoagulant activity.

A. The patient with polycystic ovarian syndrome. B. The patient with cancer. C. The patient with Kallmann’s syndrome. D. The patient with Addison’s disease.

Correct Answer is B

Explanation

Choice A rationale

Polycystic ovarian syndrome is a hormonal disorder common among women of reproductive age. While it can lead to several complications, it does not significantly increase the risk of sepsis.

Choice B rationale

Cancer and certain treatments for cancer can weaken the immune system, increasing the risk of infections that could lead to sepsis.

Choice C rationale

Kallmann’s syndrome is a genetic condition that affects the production of a hormone involved in sexual development. It does not significantly increase the risk of sepsis.

Choice D rationale

Addison’s disease affects the adrenal glands and can disrupt the balance of hormones in the body, but it does not significantly increase the risk of sepsis.

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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

Explanation

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Correct Answer is B

Explanation

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