A nurse is providing teaching to a client about completing a creatinine clearance test. Which of the following instructions should the nurse include in the teaching?
"You will need to start the collection time with your first urine specimen of the day."
"You will need to collect all of your urine for the next 12 hours."
"You will need to avoid rigorous exercise during the test."
"You will need to store the urine container in a dark location."
The Correct Answer is C
The correct answer is choice C: "You will need to avoid rigorous exercise during the test."
Rationale:
- Choice A: The collection time for a 24-hour urine creatinine clearance test typically starts at a specific time, not necessarily with the first urine of the day.
- Choice B: A creatinine clearance test requires a 24-hour urine collection, not just 12 hours.
- Choice C: Avoiding rigorous exercise is important during the test as it can affect creatinine levels and impact the accuracy of the results.
- Choice D: Storing the urine container in a dark location is not necessary for a creatinine clearance test.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
Choice A reason: Taking too many showers does not increase susceptibility to UTIs by washing o? protective bacteria. This is a misconception.
Choice B reason: Females do have a shorter urethra than males, which makes it easier for bacteria to reach the bladder and cause infections.
Choice C reason: While E. coli is a common bacteria causing UTIs, stating that females have more E. coli is incorrect and not a reason for increased UTIs.
Choice D reason: Sexual activity can increase the risk of UTIs, but it is not appropriate to assume that the client's age correlates with increased sexual activity.
Correct Answer is B
Explanation
Choice A reason: A raised red rash is not typically indicative of venous insufficiency but could suggest an allergic reaction or infection.
Choice B reason: Coldness and numbness distal to the fistula site can indicate poor blood flow, which is a symptom of venous insufficiency.
Choice C reason: Pain proximal to the fistula site can be a sign of venous hypertension and insufficiency, as it may
indicate increased pressure in the veins.
Choice D reason: Foul-smelling drainage is not a typical sign of venous insufficiency but may indicate an infection.
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