To obtain a clean-voided urine specimen for a female patient, the ...

[123654777]

To obtain a clean-voided urine specimen for a female patient, the nurse should teach the patient to
 
  a. Cleanse the urethral meatus from the area of most contamination to least.
  b. Initiate the first part of the urine stream directly into the collection cup.
  c. Hold the labia apart while voiding into the specimen cup.
  d. Drink fluids 5 minutes before collecting the urine specimen.

Question 2

When establishing a diagnosis of altered urinary elimination, the nurse should first
 
  a. Establish normal voiding patterns for the patient.
  b. Encourage the patient to flush kidneys by drinking excessive fluids.
  c. Monitor patients' voiding attempts by assisting them with every attempt.
  d. Discuss causes and solutions to problems related to micturition.

[Gabe]

Answer to Question 1

C
The patient should hold the labia apart to reduce bacterial levels in the specimen. The urethral meatus should be cleansed from the area of least contamination to greatest contamination (or front-to-back). The initial steam flushes out microorganisms in the urethra and prevents bacterial transmission in the specimen. Drink fluids 30 to 60 minutes before giving a specimen.

Answer to Question 2

D
The nurse should assess first to determine cause, then should discuss and create goals with the patient, so nurse and patient can work in tandem to normalize voiding. The nurse should incorporate the patient's input into creating a plan of care for the patient. Drinking excessive fluid will not help and may worsen alterations in urinary elimination. The nurse does not need to monitor every void attempt by the patient; instead the nurse should provide patient education. The nurse asks the patient about normal voiding patterns, but establishing voiding patterns is a later intervention.

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TY

[Gabe]

You're welcome