A nurse is obtaining a urine specimen for culture and sensitivity via a straight catheterization. Which of the following actions should the nurse take?
Use sterile water to inflate the balloon.
Instruct the client to clean from front to back with an antiseptic solution.
Collect urine from the catheter's port.
Use a sterile specimen container.
The Correct Answer is D
When collecting a urine specimen via straight catheterization, it is important to use a sterile specimen container to maintain the integrity of the sample and prevent contamination. Using a non-sterile container can introduce bacteria and affect the accuracy of the culture and sensitivity results.
The other options mentioned are incorrect:
Using sterile water to inflate the balloon: This action is relevant when inflating the balloon of an indwelling urinary catheter, but in a straight catheterization, there is no balloon involved.
Instructing the client to clean from front to back with an antiseptic solution: This instruction is appropriate for cleaning the urethral meatus before inserting an indwelling urinary catheter, but in a straight catheterization, the nurse performs the procedure using sterile technique and does not require the client to clean themselves.
Collecting urine from the catheter's port: In a straight catheterization, the nurse collects urine directly from the catheter tube using a sterile syringe or collection container, rather than from a separate port.
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Related Questions
Correct Answer is A,B,C,D,E,F
Explanation
To prepare a sterile field for the insertion of a urinary catheter, the nurse should follow the sequence of actions in the following order:
1. Perform hand hygiene.
2. Place the sterile package on the work surface.
3. Open the outermost flap of the package away from the body.
4. Open the side flaps of the package.
5. Open the innermost flap of the package toward the body.
6. Use the inner surface of the package as a sterile field.
Following this sequence ensures that the nurse maintains proper hand hygiene, prepares the sterile package, and opens it in a way that maintains sterility. Opening the flaps in the correct order helps create a sterile field within the package, which can be used for the insertion of the urinary catheter.
Correct Answer is D
Explanation
Docusate sodium is a stool softener used to relieve constipation by promoting easier passage of stool. It works by increasing the amount of water absorbed by the stool, making it softer. Drinking an adequate amount of water is important when taking docusate sodium to help facilitate the softening and movement of stool.
The other statements indicate a lack of understanding:
"I can take this medication with mineral oil": Docusate sodium should not be taken with mineral oil because mineral oil can decrease its effectiveness. They should be taken separately.
"I will take the medication for diarrhea": Docusate sodium is not typically used for diarrhea as it is primarily used to treat constipation.
"I will have soft stools 1 to 3 days after starting this medication": The onset of action for docusate sodium is usually within 1 to 3 days, but this statement does not necessarily demonstrate an understanding of the teaching.
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