A nurse is reinforcing dietary teaching with a client whose pregnancy BMI was 30.5. The nurse should include that which of the following is an acceptable weight gain for this client?

Choice A Reason:

Recording blood glucose levels during a 24-hour creatinine clearance test is not typically necessary for this test. This test primarily measures kidney function, not blood glucose levels.

Choice B Reason:

"You can begin collection of urine after discarding your first morning void." When conducting a 24-hour creatinine clearance test, the client should begin the collection of urine after discarding their first morning void. This helps ensure that the urine collected during the test is a continuous sample that includes both daytime and nighttime urine output. The client should discard the first void of the day but then collect all urine voided for the next 24 hours, including the first void of the following morning.

Choice C Reason:

Eating a protein-rich diet during the collection period can affect the accuracy of the test results, as it may increase creatinine excretion. The client should follow the healthcare provider's instructions regarding dietary restrictions.

Choice D Reason:

Cleansing the perineal area with an antiseptic towel each time before voiding is not typically required for this test. It is more important to ensure that all urine is collected and that the collection container is stored properly to prevent contamination.

Choice A Reason:

The cause of death is determined and documented by the physician or medical examiner, not the nurse. Including this in the postmortem documentation by the nurse would be inappropriate as it is not within the nurse's scope of practice to make this determination.

Choice B Reason:

While the nurse may document the last set of vital signs before death, this is typically recorded in the patient's medical record at the time the vital signs are taken, not specifically in postmortem documentation. The focus of postmortem documentation is on the events and conditions after the death has been confirmed.

Choice C Reason:

The location of the identification tag is crucial in postmortem documentation to ensure proper identification of the deceased. This information helps in maintaining the integrity and identification of the body during transportation and handling by the mortuary or funeral home.

Choice D Reason:

Advance directives are part of the client's medical record and are used to guide care decisions while the client is alive. They are not typically included in postmortem documentation, as they pertain to the client's wishes regarding treatment prior to death, not after. The original documents should remain in the client's file.