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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Resistant to routines: While toddlers can be resistant to routines, this is not a defining characteristic of typical toddler behavior. Resistance to routines can occur at various stages of childhood and is often influenced by individual temperament and environmental factors.
B. Frequent negative responses: Toddlers are known for their frequent negative responses, often referred to as the "terrible twos." This behavior is a normal part of their development as they assert their independence and test boundaries. It is a way for them to express their growing sense of self and autonomy.
C. Less emotionally labile: Toddlers are actually more emotionally labile, meaning they experience rapid and intense emotional changes. They are still learning to regulate their emotions, so mood swings and emotional outbursts are common at this age.
D. Increased dependency: While toddlers do seek comfort and reassurance from their caregivers, they are also striving for independence. Increased dependency is not typical; instead, they often exhibit behaviors that show their desire to do things on their own and explore their environment.
Correct Answer is B
Explanation
A. Injecting the immunizations into the deltoid muscle may be appropriate for older children or adults but not for infants.
B. Providing a pacifier coated with an oral sucrose solution has been shown to reduce pain and distress during injections in infants, promoting atraumatic care.
C. A 20-gauge needle may cause more pain and tissue trauma in infants compared to a smaller gauge needle.
D. EMLA cream is not typically recommended for immunizations in infants as it requires time to take effect and may not provide adequate pain relief during the procedure.
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