Clinical Scenario:
Susan Green, the 75-year-old frail woman
Clinical Scenario:
Susan Green, the 75-year-old frail woman living in a long-term care facility. Initially, she was
placed on a toileting regimen, but now she and other patients on the unit have indwelling
catheters. In determining how to respond to the situation, it would be helpful for the nurse to
perform a comprehensive assessment of the patient. Doing so would provide information to
substantiate whether or not catheter insertion was indicated or still appropriate.
Complete and submit in a course message:
1. A nurse caring for patients in a long-term care facility is often required to collect urine
specimens from patients for laboratory testing. Which techniques for urine collection are
performed correctly? Select all that apply.
a. The nurse catheterizes a patient to collect a sterile urine sample for routine
urinalysis.
b. The nurse collects a clean-catch urine specimen in the morning from a patient and
stores it at room temperature until an afternoon pick-up.
c. The nurse collects a sterile urine specimen from the collection receptacle of a
patient’s indwelling catheter.
d. The nurse collects about 3 mL of urine from a patient’s indwelling catheter
to send for a urine culture.
e. The nurse collects a urine specimen from a patient with a urinary diversion by
catheterizing the stoma.
f. The nurse discards the first urine of the day when performing a 24-hour urine
specimen collection on a patient.
2. A nurse caring for patients in an extended-care facility performs regular assessments
of the patients’ urinary functioning. Which patients would the nurse screen for urinary retention?
Select all that apply.
a. A 78-year-old male patient diagnosed with an enlarged prostate
b. An 83-year-old female patient who is on bedrest
c. A 75-year-old female patient who is diagnosed with vaginal prolapse
d. An 89-year-old male patient who has dementia
e. A 73-year-old female patient who is taking antihistamines to treat allergies
f. A 90-year-old male patient who has difficulty walking to the bathroom
3. A nurse is preparing a brochure to teach patients how to prevent UTIs. Which
teaching points would the nurse include? Select all that apply.
a. Wear underwear with a synthetic crotch
b. Take baths rather than showers
c. Drink 8 to 10 8-oz glasses of water per day
d. Drink a glass of water before and after intercourse and void afterward
Susan Green, the 75-year-old frail woman
Clinical Scenario:
Susan Green, the 75-year-old frail woman living in a long-term care facility. Initially, she was
placed on a toileting regimen, but now she and other patients on the unit have indwelling
catheters. In determining how to respond to the situation, it would be helpful for the nurse to
perform a comprehensive assessment of the patient. Doing so would provide information to
substantiate whether or not catheter insertion was indicated or still appropriate.
Complete and submit in a course message:
1. A nurse caring for patients in a long-term care facility is often required to collect urine
specimens from patients for laboratory testing. Which techniques for urine collection are
performed correctly? Select all that apply.
a. The nurse catheterizes a patient to collect a sterile urine sample for routine
urinalysis.
b. The nurse collects a clean-catch urine specimen in the morning from a patient and
stores it at room temperature until an afternoon pick-up.
c. The nurse collects a sterile urine specimen from the collection receptacle of a
patient’s indwelling catheter.
d. The nurse collects about 3 mL of urine from a patient’s indwelling catheter
to send for a urine culture.
e. The nurse collects a urine specimen from a patient with a urinary diversion by
catheterizing the stoma.
f. The nurse discards the first urine of the day when performing a 24-hour urine
specimen collection on a patient.
2. A nurse caring for patients in an extended-care facility performs regular assessments
of the patients’ urinary functioning. Which patients would the nurse screen for urinary retention?
Select all that apply.
a. A 78-year-old male patient diagnosed with an enlarged prostate
b. An 83-year-old female patient who is on bedrest
c. A 75-year-old female patient who is diagnosed with vaginal prolapse
d. An 89-year-old male patient who has dementia
e. A 73-year-old female patient who is taking antihistamines to treat allergies
f. A 90-year-old male patient who has difficulty walking to the bathroom
3. A nurse is preparing a brochure to teach patients how to prevent UTIs. Which
teaching points would the nurse include? Select all that apply.
a. Wear underwear with a synthetic crotch
b. Take baths rather than showers
c. Drink 8 to 10 8-oz glasses of water per day
d. Drink a glass of water before and after intercourse and void afterward
