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?
Discard the first voided specimen.
Void every hour.
Cleanse the perineum with a povidone-iodine solution prior to voiding.
Save the final specimen in a separate container.
Save the final specimen in a separate container.
The Correct Answer is A
Rationale:
A. Discarding the first voided specimen is necessary for a 24-hour urine collection.
B. Voiding every hour is not a specific instruction for a 24-hour urine collection and may not be practical or feasible.
C. Cleansing the perineum with a povidone-iodine solution is not necessary for a 24hour urine collection unless specifically instructed by the healthcare provider.
D. Saving the final specimen in a separate container is not necessary for a 24-hour urine collection.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. The child's throat pain is expected post-tonsillectomy and can be managed using analgesics or an ice collar. However, this is not a priority finding compared to frequent swallowing which may indicate bleeding which is a life-threatening complication of tonsillectomy.
B. Refusing clear liquids may indicate discomfort but is not as urgent as a potential increase in throat pain.
C. Crying often may be a response to discomfort but does not necessarily indicate a complication requiring immediate intervention.
D. This assessment finding indicates that the child might have bleeding in the throat, which is a life-threatening complication of tonsillectomy. The nurse should
Correct Answer is B
Explanation
D. Renal failure Correct Answer: B Rationale:
A. Stevens-Johnson syndrome is a severe allergic reaction that can occur with various medications, but it is not a common adverse effect of prednisolone.
B. Prolonged wound healing is a potential adverse effect of corticosteroids like prednisolone due to their immunosuppressive effects.
C. Hypotension is not a common adverse effect of prednisolone; rather, it can cause fluid retention and hypertension.
D. Renal failure is a rare adverse effect of prednisolone and is not typically monitored for in school-age children unless there are preexisting renal issues.
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