A nurse on a medical-surgical unit is providing care for a group of clients. Which of the following specimens should the nurse delegate collection of to the assistive personnel (AP)?

Urine from an indwelling catheter

Blood for PaCO2

Wound drainage for culture

Random stool specimen

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Urine collection from an indwelling catheter is a sterile procedure that requires aseptic technique to prevent contamination of the specimen and potential urinary tract infection. Assistive personnel (AP) may not have the necessary training in sterile technique and therefore should not be delegated this task. Additionally, the nurse needs to assess the patient for any signs of urinary tract infection or other complications before collecting the urine specimen, which is within the scope of nursing practice.

Choice B rationale:
Blood collection for PaCO2 (partial pressure of carbon dioxide) is an invasive procedure that requires assessment of the patient's condition, appropriate site selection, and proper technique to ensure accurate results. This task is within the scope of nursing practice and should not be delegated to AP.

Choice C rationale:
Wound drainage collection for culture also requires aseptic technique to prevent contamination of the specimen and ensure accurate results. The nurse needs to assess the wound for signs of infection, choose the appropriate collection method, and ensure proper labeling and transport of the specimen. This task is within the scope of nursing practice and should not be delegated to AP.

Choice D rationale:
Random stool specimen collection is a non-invasive procedure that does not require sterile technique. AP can be trained to collect random stool specimens safely and effectively, following standard precautions for handling body fluids.

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Correct Answer is ["A","D","E"]

Explanation

Choice A rationale:
History of rheumatologic conditions: Research has demonstrated a link between fibromyalgia and other rheumatologic conditions, such as rheumatoid arthritis, lupus, and osteoarthritis. Individuals with these conditions may have a predisposition to developing fibromyalgia due to shared genetic factors, immune system dysregulation, and chronic inflammation.
Choice B rationale:
Nutritional deficiency: While nutritional deficiencies, particularly in vitamin D, magnesium, and iron, have been associated with fibromyalgia symptoms, there's not enough evidence to establish them as direct risk factors for its development.
Nutritional deficiencies can worsen pain and fatigue, but they aren't considered primary causes of fibromyalgia.
Choice C rationale:

Previous injury to the bone: Past bone injuries typically aren't considered a risk factor for fibromyalgia. Fibromyalgia is a chronic pain syndrome that affects muscles and soft tissues, not bones themselves. While pain from an injury might trigger fibromyalgia symptoms, it's not a direct cause.
Choice D rationale:
Deep sleep deprivation: Sleep disturbances, especially disruptions in deep sleep (also known as slow-wave sleep), are strongly linked to fibromyalgia. Deep sleep is crucial for restorative processes in the body, including pain regulation. Insufficient deep sleep can lead to heightened pain sensitivity and contribute to the development of fibromyalgia.
Choice E rationale:
Physical and emotional trauma: Physical and emotional trauma, such as experiencing accidents, abuse, or significant psychological stress, can significantly increase the risk of developing fibromyalgia. Trauma can trigger changes in the brain's pain processing pathways and stress hormone regulation, contributing to chronic pain and other fibromyalgia symptoms.

A. I will closely follow a high-purine diet B. I will take one aspirin per day C. I will limit my alcohol intake D. I will limit my fluid intake to 1 liter per day

Correct Answer is C

Explanation

Choice A rationale:
A high-purine diet is actually contraindicated in gout because purines are metabolized into uric acid, which can accumulate in the joints and trigger gout attacks. Therefore, a low-purine diet is recommended.

Choice B rationale:
Aspirin is not typically recommended for gout because it can interfere with the excretion of uric acid and potentially worsen the condition. While low-dose aspirin might be used for specific cardiovascular benefits in some gout patients, it's not a general treatment for gout itself.

Choice C rationale:Alcohol intake is a common trigger for gout attacks because it can increase uric acid levels in the blood. Therefore, limiting alcohol intake is an important part of managing gout.

Choice D rationale:
Fluid intake should be increased, not limited, in gout patients. This is because adequate hydration helps to flush uric acid out of the body and reduce the risk of gout attacks.

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A nurse on a medical-surgical unit is providing care for a group of clients. Which of the following specimens should the nurse delegate collection of to the assistive personnel (AP)?

Nursing Test Bank

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