The nurse is instructing a female client on the proper method for ...

[ts19998]

The nurse is instructing a female client on the proper method for a midstream clean-catch urine specimen. The nurse should stress the importance of:
 
  1. wiping the meatus with an antiseptic towelette from front to back.
  2. using antibacterial foam to cleanse the labia and meatus.
  3. using an iodine solution to cleanse the outer labia.
  4. cleansing the meatus in a circular motion with an antiseptic towelette.

Question 2

The nurse recognizes that the client with reduced renal function also should be assessed for:
 
  1. signs of dehydration.
  2. low blood pressure.
  3. a decrease in red blood cell production.
  4. an increase in white blood cell production.

[frankwu0507]

Answer to Question 1

Answer: 1

1. Females should cleanse the meatus from front to back to avoid spreading any rectal contamination.
2. Antibacterial foam is not needed for cleansing.
3. An iodine solution is not needed for cleansing.
4. Cleansing should occur from front to back to avoid spreading any rectal contamination.

Answer to Question 2

Answer: 3

1. Blood pressure is usually elevated due to fluid retention, not dehydration.
2. Blood pressure is usually elevated due to fluid retention, not dehydration.
3. Decreased kidney function reduces erythropoietin production, which is needed to stimulate red blood production.
4. White blood cell production is not affected.