A nurse is providing instructions about a 24-hr urine collection to an adolescent client. Which of the following should the nurse include in the teaching?
Cleanse the perineum with a povidone-iodine solution prior to voiding.
Save the final specimen in a separate container.
Discard the first voided specimen.
Void every hour.
The Correct Answer is C
A. Cleansing the perineum with povidone-iodine is not necessary for a routine urine collection. It might be required for specific procedures but not for a 24-hour collection.
B. The final specimen should be included in the 24-hour urine collection, not saved separately.
C. The first voided specimen should be discarded at the start of a 24-hour urine collection to ensure that the urine collection represents the entire 24-hour period.
D. Voiding every hour is not required. The key is to collect urine over the entire 24-hour period.
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Related Questions
Correct Answer is C
Explanation
A. A newborn is not a playmate for a 3-year-old, which could lead to unrealistic expectations and frustration when the baby cannot actively engage in play.
B. Preparing the child for changes in their routine helps them adjust better to the arrival of a new sibling, which may affect their daily life, such as parental attention and activities.
C. Providing a doll for the older child to imitate parental behaviors helps them feel included and prepared for their new sibling. This encourages positive sibling interaction, reduces feelings of jealousy, and allows the child to practice nurturing behaviors in a fun, engaging way.
D. Moving the child to a bed before the newborn arrives may increase anxiety and should be done based on the child's readiness rather than waiting for the baby.
Correct Answer is A
Explanation
A. Prednisolone, a corticosteroid, can impair immune function and delay wound healing, making it essential for the nurse to monitor for signs of infection or delayed healing.
B. Prednisolone typically causes hypertension, not hypotension, as a side effect.
C. Stevens-Johnson syndrome is a rare, severe skin reaction typically associated with specific medications, not corticosteroids.
D. Prednisolone is not commonly associated with renal failure. While it may have effects on fluid retention, kidney function is generally not severely impacted by short-term use.
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