A nurse is reinforcing teaching with a client who has gestational hypertension about collecting a 24-hr urine specimen for protein. Which of the following statements should the nurse include in the teaching?

"Cleanse your perineum with povidone-iodine prior to collecting each urine specimen."

"You should start the 24-hour collection with your first urination."

"You should record the time on the collection container of any missed urine specimens."

"Do not add a urine specimen to the collection container if it contains stool

Answer and Explanation

The Correct Answer is C

A)   Incorrect- Cleansing the perineum with povidone-iodine is not relevant to the collection process.
B)   Incorrect- The 24-hour collection should start with the first-morning urination, not with any random urination.
C)   Correct - Recording the time on the collection container for any missed urine specimens is important for accurate measurement.
D)   Incorrect- Stool should not be added to the urine collection container, but this is not the most important point to emphasize in this teaching.

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Correct Answer is ["B","D","F","H"]

Explanation

A) Glucose level might need to be assessed if there are signs of hypoglycemia or other concerns.
B) Mucous membrane assessment: Dry mucous membranes might indicate dehydration or other issues that need further evaluation.
C. Respiratory rate: The respiratory rate is not provided in the assessment, so there's no basis to report it. The assessment did not mention any abnormal respiratory rate.
D) The sclera color indicates that the newborn has jaundice, which is a common condition in newborns but requires monitoring and treatment to prevent complications.
E. Intake and output: Intake and output are not mentioned in the assessment, so there's no basis to report it. This information is not provided in the assessment findings.
F) The Coombs test result is important for assessing the presence of antibodies that could lead to hemolytic disease of the newborn due to blood type incompatibility with the mother, which can also cause jaundice and other serious problems.
G. Heart rate: The heart rate is not mentioned in the assessment, so there's no basis to report it. The assessment did not mention any abnormal heart rate.
H) Head assessment findings, such as soft and flat fontanels along with a molded head, should be communicated for further evaluation. The head assessment finding of caput succedaneum is a swelling of the scalp caused by pressure during delivery, which usually resolves within a few days but can increase the risk of jaundice and infection.

Correct Answer is ["4"]

Explanation

To calculate the number of tablets needed:

Total dose (2 g) ÷ Dose per tablet (500 mg) = Number of tablets 2,000 mg ÷ 500 mg = 4 tablets

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A nurse is reinforcing teaching with a client who has gestational hypertension about collecting a 24-hr urine specimen for protein. Which of the following statements should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","D","F","H"]

Explanation

A nurse is preparing to administer metronidazole 2 g PO. The amount available is 500 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["4"]

Explanation

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