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 B

Explanation

A. Placing the child prone (face-down) is not appropriate for a lumbar puncture as it would make access to the lumbar spine difficult.
B. Placing the child in a lateral position (lying on their side with knees drawn up towards the chest) allows for proper positioning of the spine for the lumbar puncture procedure.
C. Placing the child supine (lying on their back) is not appropriate for a lumbar puncture as it does not provide the necessary spinal alignment for the procedure.
D. Placing the child in a semi-Fowler's position (with the head of the bed elevated at a 45-degree angle) is not appropriate for a lumbar puncture as it does not facilitate access to the lumbar spine.

A. Hemoglobin 6.8 g/dL (9.5 to 14 g/dL) B. Platelet count 98,000/mm3 (150,000 to 400,000/mm3) C. RBC count 5/mm3 (4 to 5.5/mm3) D. WBC count 15,000/mm3 (5,000 to 10,000/mm3)

Correct Answer is C

Explanation

A. Low hemoglobin indicates anemia, which is a common side effect of leukemia and its treatment, so it does not necessarily indicate treatment effectiveness.
B. Platelet count within normal range is a positive sign, but it does not directly indicate the effectiveness of treatment for leukemia.
C. Normalization of the RBC count indicates bone marrow recovery, suggesting treatment effectiveness in acute lymphoblastic leukemia.
D. Elevated WBC count is expected in leukemia and may not necessarily indicate treatment effectiveness.

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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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