A nurse is reinforcing teaching with a client about obtaining a clean catch urine specimen. Identify the sequence of steps the nurse should instruct the client to follow. (Move the steps byplacing them in the order of performance. Use all the steps.)

Cleanse the urinary meatus from front to back with antiseptic towelettes.

Place the specimen container midstream in the flow of urine.

Secure the cap tightly on the specimen container.

Separate the labia with the nondominant hand

Answer and Explanation

The Correct Answer is D,A,B,C

No solution

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Correct Answer is B

Explanation

A. Multiple gestation is associated with elevated levels of alpha-fetoprotein, not low levels.
B. Down syndrome is associated with low levels of alpha-fetoprotein.

C. Intrauterine growth restriction is not directly associated with maternal serum alpha-fetoprotein levels.
D. High levels of maternal serum alpha fetoprotein indicate a neurl tube defect such as spina bifida

A. Apply a warm pack to the puncture site prior to the procedure. B. Apply a mummy restraint to the newborn for the procedure. C. Apply antiseptic solution to the puncture site after the procedure. D. Elevate the extremity prior to the procedure.

Correct Answer is A

Explanation

A. Applying a warm pack to the puncture site before the procedure increases blood flow to the area, which makes the blood sample collection easier and reduces discomfort for the newborn.

B. A mummy restraint may not be necessary for a routine blood glucose test. The nurse can gently hold the newborn in place during the procedure without needing to fully restrain them.

C. Antiseptic solution is typically applied before the puncture to cleanse the area. After the procedure, gentle pressure and bandaging are more appropriate to stop bleeding.

D. Elevating the extremity is unnecessary for a newborn blood glucose test, as warming the area is more effective in promoting blood flow to the puncture site.

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A nurse is reinforcing teaching with a client about obtaining a clean catch urine specimen. Identify the sequence of steps the nurse should instruct the client to follow. (Move the steps byplacing them in the order of performance. Use all the steps.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing a client's maternal serum alpha-fetoprotein screening results with a newly licensed nurse. Which of the following conditions is associated with low levels?

Correct Answer is B

Explanation

A nurse is caring for a newborn who requires a blood glucose test. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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