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.

Answer and Explanation

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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Correct Answer is D

Explanation

A. Going to the bathroom when the alarm goes off may indicate that the child is not yet fully trained to respond to the bladder's signal and the therapy is not as effective.

B. Drinking less fluid is not a recommended strategy for managing enuresis and can lead to dehydration.

C. Kegel exercises can help with pelvic muscle strength but are not the primary method of conditioning therapy for enuresis.

D. The purpose of conditioning therapy for enuresis (such as the use of an alarm) is to help the child recognize when the bladder is full and respond appropriately by holding urine for longer periods. Holding urine for 15 minutes is an indication that the therapy is working.

A. "The risk of transmission decreases once my child is on zidovudine for 2 weeks." B. "My child will need to repeat his childhood immunizations once he is in remission." C. "I will ensure that my child is tested for tuberculosis every year." D. "My child will need to double his medications for the next 6 months."

Correct Answer is C

Explanation

A. The risk of transmission is not significantly reduced after just 2 weeks of zidovudine therapy; long-term adherence to the full regimen is necessary.

B. Immunizations for children with HIV should be evaluated based on their immune status, but they typically receive standard childhood immunizations, not repeating them after remission.

C. Children with HIV should be tested for tuberculosis annually due to the increased risk of opportunistic infections.

D. Medications should be taken as prescribed, without doubling the dose unless instructed by a healthcare provider.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicates the treatment is effective?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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