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 C

Explanation

A. Assisting the patient to get dressed: This is a supportive task that can be performed by any nursing staff.

B. Accompanying the patient to the acute care facility entrance: This is not a specific RN responsibility and can be done by other staff.

C. Writing the discharge instructions: Writing discharge instructions requires the professional judgment of an RN, ensuring that the patient receives comprehensive education about their care post-discharge.

D. Packing the patient's personal belongings: This is a clerical or supportive task and not specific to the RN role.

A. Listen to the patient, answer questions, and offer to have the supervisor or physician speak with the patient. B. Call both the supervisor and a family member to try to get the patient to reconsider. C. Obtain a written explanation of the reasons from the patient and have the patient sign at the bottom of the sheet. D. Advise the patient that this may mean that insurance would not pay for this hospitalization.

Correct Answer is A

Explanation

A. Listen to the patient, answer questions, and offer to have the supervisor or physician speak with the patient. Understanding the patient’s concerns and providing information may help address their reasons for leaving and promote informed decision-making. Involving the supervisor or physician allows for further discussion.

B. Call both the supervisor and a family member to try to get the patient to reconsider: Family involvement should only occur with the patient’s consent.

C. Obtain a written explanation of the reasons from the patient: This can be done after addressing the patient’s concerns.

D. Advise the patient that insurance may not pay for this hospitalization: This may seem coercive and is not an immediate priority.

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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

A patient has an acute care facility discharge order for later that day. The LPN/LVN understands that part of the discharge process to be performed by the registered nurse is:

Correct Answer is C

Explanation

A hospitalized patient tells the nurse that he intends to leave the acute care facility, against medical advice. The nurse's initial action(s) should be to:

Correct Answer is A

Explanation

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