The primary care provider has ordered the collection of a 24-hour urine specimen. The nurse's instructions to the patient for proper collection of the urine specimen include: (Select all that apply.)

Void a small amount of urine after external genitalia are cleansed.

Empty the bladder into the toilet and begin timing the collection.

Keep the container on ice if instructed to do so.

Keep the container refrigerated as needed.

Save only the first voiding in the morning.

Answer and Explanation

Correct Answer : B,C,D

A. Void a small amount of urine after external genitalia are cleansed: This applies to midstream clean-catch specimens, not 24-hour urine collection.

B. Empty the bladder into the toilet and begin timing the collection: The first void is discarded, and timing starts afterward.

C. Keep the container on ice if instructed to do so: Some tests require the specimen to remain cool to preserve its integrity.

D. Keep the container refrigerated as needed: Refrigeration may be required depending on the specific test to prevent sample degradation.

E. Save only the first voiding in the morning: The first void is discarded to ensure accurate timing and complete collection for the 24-hour period.

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Correct Answer is B

Explanation

A. Obtain meals: This is important but not a safety priority.

B. Call the nurse. Ensuring the patient knows how to call for help is a safety priority and essential to their care.

C. Use the telephone: While communication is helpful, it is secondary to patient safety.

D. Work the TV: This is a comfort measure, not a critical concern during orientation.

A. cardiac pacemakers. B. allergy to iodine. C. automatic implantable cardiac defibrillators D. metal hip prosthesis. E. bleeding tendencies.

Correct Answer is ["A","C","D"]

Explanation

A. Cardiac pacemakers: MRIs use strong magnets that can interfere with pacemaker function.

B. Allergy to iodine: Iodine is used in contrast for CT scans, not MRI, so this is not a contraindication.

C. Automatic implantable cardiac defibrillators: Similar to pacemakers, these devices can malfunction or pose risks during MRI.

D. Metal hip prosthesis: Metal can become heated or shifted due to the magnetic field, posing a risk to the patient.

E. Bleeding tendencies: While bleeding tendencies are a concern for invasive procedures, they are not a contraindication for MRI.

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The primary care provider has ordered the collection of a 24-hour urine specimen. The nurse's instructions to the patient for proper collection of the urine specimen include: (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The greatest priority during patient orientation to the unit is to show or tell the patient how to

Correct Answer is B

Explanation

The nurse is aware that patients who are not candidates for magnetic resonance imaging (MRI) include patients with: (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

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