A nurse is providing instructions about a 24-hr urine collection to an adolescent client. Which of the following should the nurse include in the teaching?
Cleanse the perineum with a povidone-iodine solution prior to voiding.
Save the final specimen in a separate container.
Discard the first voided specimen.
Void every hour.
The Correct Answer is C
A. Cleansing the perineum with povidone-iodine is not necessary for a routine urine collection. It might be required for specific procedures but not for a 24-hour collection.
B. The final specimen should be included in the 24-hour urine collection, not saved separately.
C. The first voided specimen should be discarded at the start of a 24-hour urine collection to ensure that the urine collection represents the entire 24-hour period.
D. Voiding every hour is not required. The key is to collect urine over the entire 24-hour period.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Clear urine indicates that the kidneys are functioning properly, with decreased protein and blood in the urine, which is a sign that treatment for poststreptococcal glomerulonephritis has been effective.
B. Pain with voiding is not a characteristic symptom of poststreptococcal glomerulonephritis, so this finding would not indicate treatment effectiveness.
C. Odorless urine is normal but does not specifically reflect improvement in glomerulonephritis.
D. A normal temperature (37.2° C) could indicate general health, but it is not specific for kidney function improvement in this condition.
Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A,B"}}
Explanation
Both acute laryngotracheobronchitis (croup) and pneumonia can cause irritability in a child due to discomfort from respiratory symptoms and fever.
The presence of a barking, non-productive cough at 0800 is consistent with acute laryngotracheobronchitis (croup), as it is a characteristic symptom. Pneumonia can also present with cough, but it is typically productive and associated with other respiratory symptoms such as dyspnea and crackles.
Stridor, an inspiratory wheezing sound, is a hallmark symptom of acute laryngotracheobronchitis (croup) due to inflammation and narrowing of the upper airway. It is not typically associated with pneumonia.
Fever can occur in both acute laryngotracheobronchitis (croup) and pneumonia. In this case, the tympanic temperatures of 38.1°C and 38.2°C are consistent with both conditions. However, pneumonia may present with higher fevers compared to croup.
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