Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
58. During change of shift, a day shift nurse states that all of a client's urine is to be strained. The evening nurse knows that straining is ordered because:
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
58. During change of shift, a day shift nurse states that all of a client's urine is to be strained. The evening nurse knows that straining is ordered because:
. Intake and output will be more accurate.
. The client has been having difficulty voiding.
. The composition of renal calculi needs to be identified.
. Blood clots have been affecting the accuracy of the urinalysis.
Test-Taking Tip
Look for the answer that describes the need to "find" something. Three of the options imply straining will improve urine quantity or quality.
Content Area: Adult Health, Renal; Integrated Process: Nursing Process, Analysis; Cognitive Level: Comprehension; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Alterations in Body Systems
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
.
Answer 1 is incorrect because straining does not affect intake and output. Answer 2 is incorrect because the voided urine is strained. Straining does nothing to promote voiding. Answer 3 is correct because straining is done to collect a renal stone for analysis of composition. Answer 4 is incorrect because a urinalysis can be completed even with blood clots present.