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?

Discard the first voided specimen.

Void every hour.

Cleanse the perineum with a povidone-iodine solution prior to voiding.

Save the final specimen in a separate container.

Answer and Explanation

The Correct Answer is A

A.   Discarding the first voided specimen is necessary to ensure accuracy in a 24-hour urine collection. This helps eliminate any urine that has been in the bladder prior to the start of the collection period.
B.   Voiding every hour is not necessary for a 24-hour urine collection. The goal is to collect all urine produced over a 24-hour period, not voiding at set intervals.
C.   Cleansing the perineum with a povidone-iodine solution prior to voiding is not typically necessary for a 24-hour urine collection unless specifically instructed by the healthcare provider.
D.   Saving the final specimen in a separate container is not necessary for a 24-hour urine collection. All urine produced during the specified collection period should be saved in the same container.

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Correct Answer is D

Explanation

A. Offering sips of water 4 hours following surgery may be too early and could increase the risk of aspiration in the immediate postoperative period.
B. Ambulation 12 hours following surgery may not be appropriate depending on the extent of the surgery and the patient's condition. It's important to follow physician orders regarding activity and mobilization.
C. Maintaining the head of the bed at a 30° angle may help prevent respiratory complications but is not specific to scoliosis repair with spinal instrumentation.
D. Logrolling the adolescent every 2 hours helps to prevent complications such as pressure ulcers and maintains proper alignment of the spine postoperatively.

A. Temperature 37.2° C (99° F) B. No report of pain with voiding C. Clear urine D. Odorless urine

Correct Answer is C

Explanation

A. Temperature within normal range may indicate the absence of infection, but it does not specifically indicate effectiveness of treatment for glomerulonephritis.
B. Absence of pain with voiding is a positive sign but does not directly indicate the effectiveness of treatment for glomerulonephritis.
C. Clear urine indicates resolution of hematuria, a common symptom of acute poststreptococcal glomerulonephritis, suggesting treatment effectiveness.
D. Odorless urine is a general characteristic of urine and does not specifically indicate the effectiveness of treatment for glomerulonephritis.

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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

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