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
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason: Pruritus, or severe itching, is a common symptom in patients with ESRD due to the build-up of waste products in the body.
Choice B reason: Slurred speech is not typically associated with ESRD. It may be a symptom of other neurological conditions or could be related to medications or treatments.
Choice C reason: Hypotension can be an expected finding in ESRD due to the fluid shifts and changes in blood volume
that occur during dialysis treatment.
Choice D reason: Bone pain is a known complication of ESRD, often resulting from the mineral and bone disorders that are part of chronic kidney disease-mineral and bone disorder (CKD-MBD).
Choice E reason: Bradypnea, or abnormally slow breathing, may occur in ESRD as a result of metabolic changes affecting the respiratory system.
Correct Answer is C
Explanation
Choice A reason: A diet high in calcium oxalate-rich foods should be avoided as it can contribute to the formation of calcium oxalate stones.
Choice B reason: Continuing prescribed gout medication is important, but it does not directly prevent the formation of renal calculi unless the medication is specifically for reducing uric acid levels.
Choice C reason: Drinking plenty of fluids, especially water, is one of the most effective ways to prevent the recurrence of renal calculi by diluting the urine and reducing the concentration of stone-forming minerals.
Choice D reason: A diet high in purine-rich foods can increase the risk of uric acid stones and should be avoided, especially in patients with gout and a history of renal calculi.
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