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- 1. Please answer Among the tests in the Physical Examination of Urine, odor, color and clarity is there or are there test/s that are no longer being performed in today's setting? Why or why not.?Mrs. Sammie Long, a 92-year-old African American female, is admitted to the medical unit for a nursing diagnosis of alteration in elimination: urinary retention. She has a healthcare provider’s order for a Foley catheter to be inserted. (Learning Objectives 1, 2, 3, 4, 5, 6, 7, 8) 1. Describe the steps you would take to insert the Foley catheter. 2. What part of the process is clean? What part of the process is sterile?A nurse is administering a large-volume cleansing enema to a patient prior to surgery. Once the enema solution is intro-duced, the patient complains of severe cramping. What would be the appropriate nursing intervention in this situation?a. Elevate the head of the bed 30 degrees and reposition therectal tube.b. Place the patient in a supine position and modify theamount of solution.c. Lower the solution container and check the temperatureand flow rate.d. Remove the rectal tube and notify the primary care provider.
- Timothy is a medical assistant working in a small POL. His laboratory operates under a certificate of waiver. The physician requests a microscopic examination of urine for patient Mary Smith. during Timothy’s medical assistant training, he learned to perform microscopic examination of urine, classified by CLIA as a moderate complexity test. 1.What is the appropriate action for Timothy to take? a.Tell the physician that it is not possible to have the test performed. b.Send the specimen to a laboratory approved for performing moderate- to high-complexity testing. c.Perform the test and report the results to the physician. 2.Explain your answer.1. Among the tests in the Physical Examination of Urine, is there or are there test/s that are no longer being performed in today's setting? Why or why not? 2. Give one(1) alternative testing method for one (1) of the ten parameters tested in a urine reagent strip. Discuss the following:a. Whether the alternative testing method was made before or after the urine reagent stripb. Summarized Procedurec. Causes for False Positivesd. Causes for False NegativesOrder: Phernobarbital 100 mg IM STAT Pharmacy supply: 130 mg/mL liquid in an ampule How much will you give your patient? Round to the tenth
- (CASE 3) Please refer to the patient's urinalysis result below: A patient is admitted following a vehicular accident causing massive crush injuries. Which of the following microscopic and chemical examinations show a clear discrepancy? Choose all that apply. a) RBC b) WBC c) Epithelial cell d) Bacteria e) Leukocytes (Urine strip) f) Protein (Urine strip) g) Blood (Urine strip) i) Nitrite (Urine strip)2. You are assisting with a 24-hour urine collection on a client assigned to your care. The client is in the dining room and chooses not to return to his room to collect the specimen; instead he voids in the nearest bathroom. Is it okay to just collect one extra sample and continue the collection? Provide your rationaleWhich of the following complication associated with renal failure should cause the nurse to notify the primary care provider for immediate dialysis? A) Hyperkalemia B) Hypertension C) Increased creatinine levels D) Uremia.
- The nurse is administering oral methylcellulose (Citrucel) and keeps in mind that a major potential concern with this drug is a) dehydration.b) tarry stools.c) renal calculi.d )esophageal obstructionThe surgical team is about to begin a renal transplant for a client with chronic renal failure which question should the practical nurse ask the surgical team during tine out (select all that apply) A Was surgical asepsis monitored during set up? B Has the client been verified for this procedure? C Is the preoperative teaching complete? D Is the client ready to be transported to the surgical suite? E Have the right procedure and correct site been established?The laboratory received a 24-hour urine collection from a 26-year old male (body surface area = 2.34m2), and the total urine collection volume measured 800 mL in 24 hours. After creatinine determinations were performed by the alkaline picrate method, interpret the result. Plasma creatinine: 1.2 mg/dL Urine creatinine: 150 mg/dL a. The creatinine clearance of the patient is above reference range. b. The creatinine clearance of the patient is below reference range. c. The creatinine clearance of the patient is within reference range. d. The creatinine clearance of the patient is borderline high.