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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The nurse should not encourage flexion and extension of the neck, as this could cause further injury or damage to the spinal cord.
B. The nurse should reposition the client using a turning sheet to prevent skin breakdown and maintain alignment of the spine.
C. The nurse should assess the pin sites for infection at least once a day, not every other day.
D. The nurse should not tighten the screws on the halo device, as this could cause pressure ulcers or nerve damage. Only a provider can adjust the screws on the halo device.
Correct Answer is C
Explanation
A) The creatinine level is within the normal range.
B) The BUN level is within the normal range.
C) An elevated creatinine level suggests impaired kidney function, which could be a sign of nephrotoxicity from gentamicin.
D) The BUN level is within the normal range.
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