A nurse is assisting with the care of a client.
 

Exhibits

Complete the following sentence.

After notifying the provider, the nurse should first

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and then

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.

Choice A Reason:

Recording blood glucose levels during a 24-hour creatinine clearance test is not typically necessary for this test. This test primarily measures kidney function, not blood glucose levels.

Choice B Reason:

"You can begin collection of urine after discarding your first morning void." When conducting a 24-hour creatinine clearance test, the client should begin the collection of urine after discarding their first morning void. This helps ensure that the urine collected during the test is a continuous sample that includes both daytime and nighttime urine output. The client should discard the first void of the day but then collect all urine voided for the next 24 hours, including the first void of the following morning.

Choice C Reason:

Eating a protein-rich diet during the collection period can affect the accuracy of the test results, as it may increase creatinine excretion. The client should follow the healthcare provider's instructions regarding dietary restrictions.

Choice D Reason:

Cleansing the perineal area with an antiseptic towel each time before voiding is not typically required for this test. It is more important to ensure that all urine is collected and that the collection container is stored properly to prevent contamination.

Correct answer: A

a.This step is crucial because it helps maintain the sterility of the kit by ensuring that the nurse does not accidentally contaminate the sterile field with their body or clothing.This step ensures that the nurse's hands and arms do not cross over the sterile field, reducing the risk of contamination.

b.Opening the flap nearest to the nurse first can lead to contamination because the nurse's hands and arms might cross over the sterile field while opening the remaining flaps. This increases the risk of introducing pathogens into the sterile area, compromising the sterility required for the procedure.

c.Opening a side flap first can also compromise the sterility of the field. Similar to option (b), this action might result in the nurse's hands or arms moving over the sterile area, risking contamination.

d.Applying sterile gloves is an essential step in maintaining sterility, but it is not the first step. The nurse needs to prepare the sterile field before donning sterile gloves to ensure that the gloves themselves remain uncontaminated. If the nurse were to put on sterile gloves first, there is a risk of contaminating the gloves while opening the sterile kit, thereby defeating the purpose of using sterile gloves.