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?
Save the final specimen in a separate c
Cleanse the perineum with a povidone-
Discard the first voided specimen.
Void every hour
The Correct Answer is C
A. During a 24-hour urine collection, all urine produced over the 24-hour period should be collected in a single container. The final specimen (the last urine voided at the end of the 24 hours) should be added to the same container as the rest of the collected urine, not saved separately.
B. For a 24-hour urine collection, there is no need to cleanse the perineum with a povidone-iodine solution before each collection. The focus should be on collecting all urine over the 24-hour period in the designated container. However, proper hygiene practices are important to avoid contamination.
C. The 24-hour urine collection starts after the first void of the day, which should be discarded. The collection begins with the second void and continues until the same time the next day, including the final void. Discarding the first void is essential to ensure that the collection accurately reflects the urine produced over a full 24-hour period.
D. During a 24-hour urine collection, the client should void as needed but collect all urine produced over the 24 hours in the designated container. There is no requirement to void every hour; the key is to ensure that every drop of urine is collected and included in the total 24-hour collection period.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
A. This temperature is too high and can cause severe burns. The recommended water heater temperature is 120° F (49° C) or lower.
B. Toddlers are curious and may explore electrical outlets and cords, leading to burns or electrocution. Keeping wires out of sight is essential.
C. Turning pot handles toward the front of the stove increases the risk of a toddler pulling on them, causing spills and burns. Handles should be turned inward.
D. This time frame is when the sun's rays are strongest, increasing the risk of sunburn. Outdoor activities should be scheduled during cooler parts of the day or when the sun is less intense.
Correct Answer is A
Explanation
A. Phototherapy can increase a newborn's body temperature. Frequent monitoring is essential to prevent overheating.
B. Mittens may be used but their use is not directly related to phototherapy.
C. Applying lotion can interfere with the effectiveness of phototherapy. The newborn's skin should be kept clean and dry.
D. The newborn's eyes should be checked more frequently, typically every 4 hours, to monitor for any irritation or inflammation caused by the light.
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