A nurse is reinforcing teaching with a client who has gestational hypertension about collecting a 24-hr urine specimen for protein. Which of the following statements should the nurse include in the teaching?

"Cleanse your perineum with povidone-iodine prior to collecting each urine specimen."

"You should start the 24-hour collection with your first urination."

"You should record the time on the collection container of any missed urine specimens."

"Do not add a urine specimen to the collection container if it contains stool

Answer and Explanation

The Correct Answer is C

A)   Incorrect- Cleansing the perineum with povidone-iodine is not relevant to the collection process.
B)   Incorrect- The 24-hour collection should start with the first-morning urination, not with any random urination.
C)   Correct - Recording the time on the collection container for any missed urine specimens is important for accurate measurement.
D)   Incorrect- Stool should not be added to the urine collection container, but this is not the most important point to emphasize in this teaching.

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Correct Answer is D

Explanation

A) Incorrect- Overlapping suture lines in a newborn are common and usually resolve as the baby grows. This finding is not typically concerning.
B) Incorrect- Acrocyanosis, bluish discoloration of the hands and feet, is common in newborns and is a normal physiological response to adjusting to the outside environment.
C) Incorrect- Hypotonia, or decreased muscle tone, can be present in newborns and may improve over time. It's important to monitor but may not necessarily require immediate reporting.
D) Correct - A blood glucose level of 40 mg/dL in a newborn is considered low and requires intervention. Hypoglycemia in a newborn can have serious consequences and should be promptly addressed.

A. Teroutaline B. Magnesium sulfate C. Methotrexate D. Calcium gluconate

Correct Answer is C

Explanation

A) Incorrect- Terbutaline is a tocolytic medication used to relax uterine muscles and inhibit contractions, not to treat an ectopic pregnancy.
B) Incorrect- Magnesium sulfate is used to prevent seizures in clients with preeclampsia, not to treat ectopic pregnancies.
C) Correct - Methotrexate is often used to treat unruptured ectopic pregnancies in the early stages by inhibiting the growth of trophoblastic tissue.
D) Incorrect- Calcium gluconate is used to treat magnesium toxicity and other conditions related to calcium imbalance, not to treat ectopic pregnancies.

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A nurse is reinforcing teaching with a client who has gestational hypertension about collecting a 24-hr urine specimen for protein. Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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