The nurse plans to collect a 24 hour urine specimen for a creatinine clearance test. Which instruction should the nurse provide to the adult male client?

Urinate at a specified time, discard this urine, and collect all subsequent urine during the next 24 hours.

Urinate immediately into a urinal, and the lab will collect the specimen every 6 hours, for the next 24 hours.

For the next 24 hours, notify nurse when the bladder is full, and the nurse will collect catheterized specimens.

Cleanse around the meatus, discard first portion of voiding, and collect the rest in a sterile bottle.

Answer and Explanation

The Correct Answer is A

A. Urinate at a specified time, discard this urine, and collect all subsequent urine during the next 24 hours: Discarding the first void ensures the collection begins with an empty bladder, and all urine afterward is included for accurate measurement.

B. Urinate immediately into a urinal, and the lab will collect the specimen every 6 hours, for the next 24 hours: This describes timed urine sampling, not a continuous 24-hour collection required for creatinine clearance.

C. For the next 24 hours, notify nurse when the bladder is full, and the nurse will collect catheterized specimens: Routine creatinine clearance testing does not require catheterization unless the client is already catheterized.

D. Cleanse around the meatus, discard first portion of voiding, and collect the rest in a sterile bottle: This describes a midstream or clean-catch technique, typically used for urine cultures, not 24-hour collections.

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Correct Answer is C

Explanation

A. Emollient: Emollient (stool softener) laxatives like docusate sodium help moisten stool but do not significantly increase stool volume or stimulate bowel movement. They are gentle but typically insufficient for long-term, low-frequency constipation.

B. Osmotic: Osmotic laxatives draw water into the bowel to promote peristalsis. They are effective but may cause electrolyte imbalances if used chronically. These are often reserved for when bulk-forming agents are ineffective.

C. Bulk-forming: Bulk-forming laxatives such as psyllium are typically the first-line recommendation for chronic constipation. They mimic dietary fiber by absorbing water, increasing stool bulk, and promoting regular bowel movements with minimal side effects.

D. Stimulant: Stimulant laxatives like senna or bisacodyl are stronger agents that promote bowel motility but can cause dependency if used long-term. They are not recommended as first-line therapy for chronic constipation related to diet.

A. Oxygen saturation 95% on room air B. Bone misalignment C. Swelling at the site of injury D. Nausea and fatigue reported by client E. Decreased range of motion F. Intense pain reported by client Left arm that is cool to touch G. Blood pressure of 136/90 mm Hg

Correct Answer is ["B","C","D","E","F"]

Explanation

A. Oxygen saturation 95% on room air A SpO2 of 95% is within acceptable limits, especially in a client who is not exhibiting signs of respiratory distress. This does not require immediate investigation, as it is not low enough to be concerning.

B. Bone misalignment: The client’s collarbone appears out of alignment on the left side. This could indicate a fracture or dislocation that needs to be evaluated further to prevent further injury, ensure proper alignment, and determine the need for stabilization or surgical intervention.

C. Swelling at the site of injury: Swelling at the injury site, especially with a history of trauma, could indicate a fracture or soft tissue damage. The nurse should assess the extent of the swelling to rule out internal bleeding, compartment syndrome, or a fracture requiring urgent management.

D. Nausea and fatigue reported by client: Nausea and fatigue can be symptoms of more serious conditions, such as a concussion or internal bleeding, especially given the trauma to the head. These symptoms should be investigated to rule out any neurological or systemic involvement.

E. Decreased range of motion: The client’s decreased range of motion in the left arm, particularly with the reported intense pain, indicates a potential fracture, dislocation, or significant soft tissue injury. This needs to be further assessed to ensure proper treatment and avoid further complications.

F. Intense pain reported by client: The client reports intense pain (10 on a 0 to 10 scale) in the left arm, along with difficulty moving it. This is a critical symptom, suggesting a possible fracture, dislocation, or soft tissue injury that needs to be addressed immediately.

G. Left arm that is cool to touch: Coolness to the touch in the left arm could indicate a lack of adequate blood circulation, potentially from vascular injury or compression. This requires further evaluation to assess for possible arterial injury or compartment syndrome.

G. Blood pressure of 136/90 mm Hg: While 136/90 mm Hg is elevated for a general population, it is not an immediate life-threatening concern in this acute trauma setting. It could be a normal finding for someone with a history of hypertension, or a temporary elevation due to pain and anxiety from the injury.

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The nurse plans to collect a 24 hour urine specimen for a creatinine clearance test. Which instruction should the nurse provide to the adult male client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client reports passing 2 to 3 small, hard stools per week since being placed on a low-residue diet three months ago. Which type of laxative should the nurse expect the healthcare provider to recommend first?

Correct Answer is C

Explanation

Exhibits The nurse considers the brief interaction with the client and the triage report. Which finding(s) should the nurse investigate further? Select all that apply.

Correct Answer is ["B","C","D","E","F"]

Explanation

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