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.
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Related Questions
Correct Answer is A
Explanation
A. Allowing the child to choose which leg to receive the injection in can help reduce anxiety and make the child feel more in control.
B. Offering a prize if the child doesn't cry is a form of bribery and may cause anxiety about the injection.
C. Telling the child the injection will only feel a "little stick" may lead to unrealistic expectations and worsen fear.
D. Saying "This medicine will fix you" can be too vague and may confuse the child about the purpose of the injection.
Correct Answer is D
Explanation
A. Setting the water heater to 60° C (140° F) is unsafe, as water temperatures above 49° C (120° F) can cause serious burns in a short period of time.
B. Turning pot handles toward the front of the stove increases the risk of the toddler pulling the pot off the stove or touching it.
C. Encouraging outdoor activities during peak sunlight hours (1100 to 1300) increases the risk of sunburn, not burn injuries from heat sources.
D. Keeping electrical wires hidden from view helps prevent toddlers from pulling or chewing on them, reducing the risk of electric burns or shocks.
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