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A pct is assisting a nurse to insert an indwelling urinary catheter for a pt. After
setting up a sterile field, the tech drops the catheter on clean sheets. Which of
the following actions should the tech take?
-Wipe the catheter with sterile gauze
-Continue the procedure
-Rinse the catheter with povidone iodine
-Obtain another sterile kit
-Wipe the catheter with sterile gauze: The technician should discard the
catheter because it touched a nonsterile surface.
-Continue the procedure: The technician should discard the catheter because it
touched a nonsterile surface.
-Rinse the catheter with povidone iodine: The technician should discard the
catheter because it touched a nonsterile surface.
-Obtain another sterile kit: The technician should obtain another sterile kit
and discard the catheter because it touched a nonsterile surface.
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,A pct is recording a pt's output and notes that the pt voided a small amount of
dark yellow urine. The pt is flushed and reports dry mouth. The tech should
identify that these findings indicate what?
Dehydration
Frequent urination
Adequate fluid intake
Urinary incontinence
Dehydration: With dehydration, urine output decreases and the urine is
concentrated, taking on a dark yellow color. The technician should report this
finding and the amount of urine output over the past 4 hr to the nurse.
Frequent urination: Frequent urination can indicate a urinary tract infection.
This patient might have voided frequently, but the characteristics and volume of
urine indicate a different problem.
Adequate fluid intake: Urine output should be approximately equal to fluid
intake. Oral intake of fluids should be at least 1,100 to 1,400 mL/day plus fluids
from other sources such as food, for a total of 2,500 mL/day. Even at the
minimum intake of 1,100 mL/day, the urine output for 4 hr should be about 183
mL, with the standard minimally acceptable urine output being 30 mL/hr.
Therefore, the patient does not have an adequate fluid intake, or is losing
excessive amounts of fluid through vomiting or diarrhea.
Urinary incontinence: Urinary incontinence is the inability to control urination.
The characteristics of the urine and the amount of urine the patient voids in a
specific time frame are not indications of incontinence.
A pct in a clinic receives a urine sample form a pt who completed a 24 hr urine
collection. The tech should ensure that the following condition has been met?
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,The specimen was allowed to stand for 8 hr following the final collection.
The final voiding of the 24-hr period was discarded.
The patient cleaned the meatus prior to each void.
The specimen was refrigerated prior to being returned.
The specimen was allowed to stand for 8 hr following the final collection. The
patient should bring the specimen to the clinic as soon as possible after
completion of the 24-hr collection.
The final voiding of the 24-hr period was discarded. The patient should ensure
that every void during the 24-period is included in the specimen.
The patient cleaned the meatus prior to each void. The patient should perform
this step when collecting a clean-catch urine specimen. However, it is not
necessary to complete this step for a 24-hr urine collection.
The specimen was refrigerated prior to being returned. The patient should
keep the specimen cool for the entire collection period to preserve the integrity
of the specimen.
A pct is teaching a pt about HIPAA regulations, which of the following client
statements indicate an understanding of the teaching?
-I do not need to give my provider permission to share my health info with my
family members
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, -My provider is required to report if I receive a diagnosis of tuberculosis
-If I require an interpreter, my provider cannot share my health info with them
-If I am injured at work my employer has a right to see my health information
-I do not need to give my provider permission to share my health info with my
family members: HIPAA regulations require the patient to sign a consent form
in order for the provider to give a third party access to the patient's protected
health information. This also applies to family members.
-My provider is required to report if I receive a diagnosis of
tuberculosis: HIPAA regulations require providers to report instances of
communicable diseases, including tuberculosis, to prevent an outbreak in the
community.
-If I require an interpreter, my provider cannot share my health info with
them: HIPAA regulations require that a patient's protected health information
is kept confidential. However, sharing a patient's information with a medical
interpreter is necessary to provide effective care and is therefore allowed by
HIPAA regulations.
-If I am injured at work my employer has a right to see my health
information: HIPAA regulations require the patient to sign a consent form in
order for the provider to give a third party access to the patient's protected
health information. This applies to the patient's employer, even if the patient
sustained an injury at work.
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