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.

Answer and Explanation

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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Correct Answer is C

Explanation

A. Amphotericin B is an antifungal medication and is not indicated for impetigo, which is a bacterial skin infection.
B. Lidocaine ointment is a local anesthetic and is not indicated for the treatment of impetigo.
C. Impetigo is highly contagious, and contact isolation precautions should be initiated to prevent its spread within the hospital setting.
D. Reporting the disease to the state health department may be necessary for surveillance purposes, but the immediate priority is to implement infection control measures.

A. Dietitian B. Occupational therapist C. Speech-language pathologist D. Physical therapist

Correct Answer is A

Explanation

A. Nutritional management is crucial in cystic fibrosis due to malabsorption issues.
A dietitian can provide guidance on appropriate dietary intake and may recommend enzyme replacement therapy.
B. Occupational therapists may assist with activities of daily living, but their primary role may not be as critical initially as nutritional management.
C. Speech-language pathologists primarily focus on speech and swallowing disorders, which may not be the primary concern at the time of admission.
D. Physical therapists may assist with physical activity and mobility, but their primary role may not be as critical initially as nutritional management.

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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?

Nursing Test Bank

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