Author Question: The nurse instructs a woman about providing a clean-catch urine specimen. Which of the following ... (Read 54 times)

leilurhhh · **on:** Jul 23, 2018

The nurse instructs a woman about providing a clean-catch urine specimen. Which of the following statements indicates that the patient correctly understands the procedure?

a. I will be sure to urinate into the hat' you placed on the toilet seat.
b. I will wipe my genital area from front to back before I collect the specimen midstream.
c. I will need to lie still while you put in a urinary catheter to obtain the specimen.
d. I will collect my urine each time I urinate for the next 24 hours.

Question 2

A patient who underwent a left above-the-knee amputation reports pain in his left foot. The nurse should document this finding as what type of pain?

a. Psychogenic
b. Phantom
c. Referred
d. Radiating

tranoy · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
To obtain a clean-catch urine specimen, the nurse should instruct the patient to cleanse the genital area from front to back and collect the specimen midstream. This follows the principle of going from clean to dirty. The nurse should have the ambulatory patient void into a hat (container for collecting the urine of an ambulatory patient) when monitoring urinary output, but not when obtaining a clean-catch urine specimen. A urinary catheter is required for a sterile urine specimen, not a clean-catch specimen. A 24-hour urine collection may be necessary to evaluate some disorders but a clean-catch specimen is a one-time collection.

Answer to Question 2

B
The nurse should document this finding as phantom pain. Phantom pain is pain that is perceived to originate in an area that has been amputated. Psychogenic pain refers to pain experienced by a person that does not match the symptoms or the apparent source of pain. It is thought to arise from psychological factors and is disproportional to the painful stimuli. Referred pain occurs in an area distant from the original site. Radiating pain starts at the source but extends to other locations.