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A nurse is providing teaching to a client about completing a creatinine clearance test. Which of the following instructions should the nurse include in the teaching?

"You will need to start the collection time with your first urine specimen of the day."

"You will need to collect all of your urine for the next 12 hours."

"You will need to avoid rigorous exercise during the test."

"You will need to store the urine container in a dark location."

Answer and Explanation

The Correct Answer is C

The correct answer is choice C: "You will need to avoid rigorous exercise during the test."

Rationale:

Choice A: The collection time for a 24-hour urine creatinine clearance test typically starts at a specific time, not necessarily with the first urine of the day.
Choice B: A creatinine clearance test requires a 24-hour urine collection, not just 12 hours.
Choice C: Avoiding rigorous exercise is important during the test as it can affect creatinine levels and impact the accuracy of the results.
Choice D: Storing the urine container in a dark location is not necessary for a creatinine clearance test.

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Correct Answer is B

Explanation

Choice A reason: Hyperkalemia is not typically associated with corticosteroid therapy. Corticosteroids can lead to increased excretion of potassium, not retention.

Choice B reason: Hypokalemia is a common side effect of corticosteroid therapy due to increased excretion of potassium in the urine.

Choice C reason: Hypomagnesemia is not commonly associated with corticosteroid therapy.

Choice D reason: Hypermagnesemia is not typically induced by corticosteroid therapy.

A. Instruct the client to drink 1 liter of fluid each day. B. Instruct the client to take antibiotics until dysuria is no longer present. C. Instruct the client to avoid drinking carbonated beverages. D. Instruct the client to drink 240 mL of tomato juice each day.

Correct Answer is C

Explanation

Choice A reason: Instructing the client to drink 1 liter of fluid each day may not be sufficient for someone with cystitis. Increasing fluid intake helps ?ush out bacteria from the urinary tract, and the general recommendation is to drink about 2 liters of water per day.

Choice B reason: While taking antibiotics is a crucial part of treating bacterial cystitis, the client should complete the full course of antibiotics prescribed, not just until symptoms such as dysuria disappear. This ensures the infection is fully treated and reduces the risk of resistance.

Choice C reason: Advising the client to avoid carbonated beverages is appropriate because such drinks can irritate the bladder and exacerbate symptoms of cystitis. It is also recommended to avoid ca?eine, alcohol, and spicy foods until the infection clears.

Choice D reason: There is no specific recommendation for clients with cystitis to drink tomato juice each day. In fact, tomato juice is acidic and may irritate the bladder, similar to carbonated beverages.

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A nurse is providing teaching to a client about completing a creatinine clearance test. Which of the following instructions should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

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