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 A

Explanation

A) Correct - A hemoglobin level of 9.5 g/dL in a full-term newborn is lower than the expected range and should be reported to the provider for further evaluation.
B) Incorrect- Platelets of 225,000/mm3 are within the normal range for newborns and do not require immediate reporting.
C) Incorrect- A glucose level of 60 mg/dL is within the normal range for a newborn and does not require immediate reporting.
D) Incorrect- A white blood cell count of 10,000/mm3 is within the normal range for a newborn and does not require immediate reporting.

A. Advise the client to avoid using a breast pump B. Provide the client with ice packs for her breasts. C. Encourage the client to wear a loose-fitting bra. D. Applying purified lanolin to the breasts can help soothe and moisturize the nipples, making breastfeeding more comfortable and providing relief from breast engorgement.

Correct Answer is D

Explanation

A) Incorrect- Using a breast pump can actually help relieve breast engorgement by expressing excess milk, so this advice is not appropriate.
B) Incorrect- Applying ice packs to the breasts can decrease milk production and might not provide as much relief as other interventions.
C) Incorrect- Wearing a supportive, well-fitting bra is a good recommendation, but it might not provide enough relief for breast engorgement on its own.
D) Correct - Applying purified lanolin to the breasts can help soothe and moisturize the nipples, making breastfeeding more comfortable and providing relief from breast engorgement.

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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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Correct Answer is D

Explanation

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