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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Correct Answer is D
Explanation
A. Anti-nausea medication is not recommended unless prescribed by the provider and may mask symptoms of toxicity.
B. Increasing fluid intake is not a recommended response to vomiting from digoxin. Fluid balance should be monitored, but not specifically increased.
C. Mixing digoxin with formula is not advised because it can interfere with the absorption of the medication.
D. If an infant vomits after digoxin administration, the nurse should withhold the next dose and consult the provider before administering more. Vomiting may indicate digoxin toxicity, and giving the next dose without evaluation can be dangerous.
Correct Answer is A
Explanation
A. Impetigo is highly contagious, and contact isolation precautions are necessary to prevent its spread to other patients and healthcare providers.
B. Reporting impetigo contagiosa to the state health department is typically not required unless there is an outbreak, as it is a localized skin infection.
C. Amphotericin B is used for fungal infections, not bacterial skin infections like impetigo. Antibiotics are required for treatment.
D. Lidocaine ointment is used for pain relief but is not indicated for treating impetigo. Antibiotic treatment is required for the condition.
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