D439 Foundations of Nursing OA Readiness 2025 Nursing
Responses & Urine Collection Techniques Western Governors
University
The nurse places a client who had abdominal surgery in the semi-
Fowler position. The client states, “I prefer to lie flat when in bed. I
feel like I am almost sitting up.” Which is the most appropriate
response by the
“Raising the head nurse?.
of your bed supports your breathing.”
“Keeping your upper body elevated encourages urinary elimination.” “Increasing the
height of the top of the bed promotes your passing gas.”
“Lifting your chest above your abdomen facilitates drainage in your wound drains.”
The most appropriate response by the nurse is:
“Raising the head of your bed supports your breathing.”
Rationale:
After abdominal surgery, placing the client in a semi-Fowler position (head of bed at 30–45
degrees) is important because it:
• Reduces tension on the abdominal incision
• Promotes lung expansion and breathing
, • Helps prevent postoperative complications like atelectasis or pneumonia
less accurate:
• Urinary elimination is not significantly affected by body position unless related to
other complications.
• While upright posture may help with gas, it's not the main concern post-
abdominal surgery.
• Wound drains function more on gravity and placement than chest elevation over
the abdomen.
2- 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. Required to answer..
The nurse catheterizes a patient to collect a sterile urine sample for routine urinalysis 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.
The nurse collects a sterile urine specimen from the collection receptacle of a patient's indwelling
catheter
The nurse collects about 3 mL of urine from a patient's indwelling catheter to send for a urine
culture.
The nurse discards the first urine of the day when performing a 24-hour urine specimen collection
on a patient.
Responses & Urine Collection Techniques Western Governors
University
The nurse places a client who had abdominal surgery in the semi-
Fowler position. The client states, “I prefer to lie flat when in bed. I
feel like I am almost sitting up.” Which is the most appropriate
response by the
“Raising the head nurse?.
of your bed supports your breathing.”
“Keeping your upper body elevated encourages urinary elimination.” “Increasing the
height of the top of the bed promotes your passing gas.”
“Lifting your chest above your abdomen facilitates drainage in your wound drains.”
The most appropriate response by the nurse is:
“Raising the head of your bed supports your breathing.”
Rationale:
After abdominal surgery, placing the client in a semi-Fowler position (head of bed at 30–45
degrees) is important because it:
• Reduces tension on the abdominal incision
• Promotes lung expansion and breathing
, • Helps prevent postoperative complications like atelectasis or pneumonia
less accurate:
• Urinary elimination is not significantly affected by body position unless related to
other complications.
• While upright posture may help with gas, it's not the main concern post-
abdominal surgery.
• Wound drains function more on gravity and placement than chest elevation over
the abdomen.
2- 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. Required to answer..
The nurse catheterizes a patient to collect a sterile urine sample for routine urinalysis 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.
The nurse collects a sterile urine specimen from the collection receptacle of a patient's indwelling
catheter
The nurse collects about 3 mL of urine from a patient's indwelling catheter to send for a urine
culture.
The nurse discards the first urine of the day when performing a 24-hour urine specimen collection
on a patient.
