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 D
Explanation
A. Kyphosis, an excessive outward curvature of the spine, may be a complication of sickle cell disease but is not typically considered a priority over acute neurological symptoms.
B. Constipation is a common symptom in sickle cell disease due to vaso-occlusive events, but it is not an acute concern unless severe or accompanied by other symptoms.
C. Enuresis, or bedwetting, may occur in children with sickle cell disease due to changes in renal function but is not typically considered a priority over acute neurological symptoms.
D. Facial twitching could be indicative of a seizure or other neurological complication, which is a serious concern requiring immediate attention, especially in a child with sickle cell disease who may be at increased risk for neurological complications due to the increased risk of stroke. Therefore, it is the priority finding to report to the provider.
Correct Answer is B
Explanation
A. Administering vaccines prior to discharge may not be appropriate for a child with neutropenia as they have a compromised immune system, and live vaccines should be avoided.
B. Avoiding raw fruits and vegetables in the child's diet is essential because raw produce may harbor bacteria that could potentially lead to infections in a child with neutropenia. Cooked fruits and vegetables are safer options.
C. Bathing the child every other day may be appropriate to maintain cleanliness, but it is not specifically related to neutropenia management.
D. Obtaining the child's rectal temperature once daily is important for monitoring for fever, which can be a sign of infection in a neutropenic child. However, dietary precautions to prevent bacterial exposure are more directly related to managing neutropenia.
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