The nurse is instructing an unlicensed assistant on how to collect a urine specimen from an indwelling catheter. Which of the following statements indicates that the assistant understands the instructions
A. "I will empty the catheter drainage bag, have the client drink some water, and an hour later collect the urine that drains into the bag. "
B. "I will get a sterile syringe and remove urine from the catheter through the collection port to place in the specimen container. "
C. "I should collect urine from the catheter drainage bag at the end of the shift and place it in the specimen container. "
D. "I will disconnect the drainage tube from the catheter and let urine run from the catheter into the specimen container. "
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A hospitalized client craves a drink while withdrawing from alcohol. Which of the following measures is the best way to help the client resist the urge to drink
A routine search of visitors.
B. A locked-door policy.
C. One-to-one supervision by the staff.
D. Support from other alcoholic clients.
When caring for a client during the second stage of labor, which action would be least appropriate
Assisting the client with pushing.
B. Ensuring the client’s legs are positioned appropriately.
C. Allowing the client clear liquids.
D. Monitoring the fetal heart rat
During the evening shift on the day of the client’s surgery, the nurse notices that the nasogastric tube drains 500 mL of green-brown fluid. What should the nurse do
A. Record the amount of drainage on the client’s chart.
B. Irrigate the tube with normal saline solution.
Call the physician immediately.
D. Increase the intravenous infusion rat
When developing a teaching plan for the mother of a child diagnosed with spastic cerebral palsy, which of the following descriptions would the nurse include
A. Wide-based gait and poor muscle coordination.
B. Tremors and lack of active movement.
C. Increased muscle tone and stretch reflexes.
D. Slow, wormlike writhing movements.
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