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.
The Correct Answer is A
A. Discarding the first voided specimen is necessary to ensure accuracy in a 24-hour urine collection. This helps eliminate any urine that has been in the bladder prior to the start of the collection period.
B. Voiding every hour is not necessary for a 24-hour urine collection. The goal is to collect all urine produced over a 24-hour period, not voiding at set intervals.
C. Cleansing the perineum with a povidone-iodine solution prior to voiding is not typically necessary for a 24-hour 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. All urine produced during the specified collection period should be saved in the same container.
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Related Questions
Correct Answer is B
Explanation
A. Rotavirus vaccination is typically given in infancy, usually starting at 2 months of age, so it would not be administered to a 5-year-old child who is already up-to-date with the immunization schedule.
B. Varicella (chickenpox) vaccine is routinely administered around 12-15 months of age with a booster dose typically given between 4-6 years of age. Therefore, a 5- year-old child would receive the booster dose if not already administered.
C. Haemophilus influenzae type b (Hib) vaccine is usually completed by 15 months of age, so it would not be administered to a 5-year-old child who is already up-to- date with the immunization schedule.
D. Hepatitis B vaccine is typically administered at birth, 1-2 months, and 6-18 months of age, so a 5-year-old child who is up-to-date with immunizations would have already received the series.
Correct Answer is B
Explanation
A. Setting the water heater to 60° C (140° F) increases the risk of scald burns for toddlers due to hot water. This is not a recommended safety measure.
B. Keeping electrical wires hidden from view helps prevent electrical burns, which is a significant risk for toddlers who may touch or play with exposed wires.
C. Encouraging outdoor activities between 1100 and 1300 may expose toddlers to the sun during peak hours, increasing the risk of sunburns, but it does not directly address burn prevention.
D. Turning pot handles toward the front of the stove helps prevent toddlers from reaching up and pulling hot pots down, reducing the risk of burns. While a good safety measure, it is not as directly related to burn prevention as hiding electrical wires.
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