A patient received teaching about the correct procedure in a 24-hour urine collection for creatinine clearance test. Which statement by the client indicates a need for further teaching?

"To end the collection, I must empty my bladder, adding it to the collection."

"I should keep the urine container cool in a separate refrigerator or cooler."

"I should not eat any protein when I am collecting urine for this test."

"I won't save the first urine when the collection time starts."

Answer and Explanation

The Correct Answer is C

Choice A rationale: This statement is correct; it's important to include the final voided urine in the collection.

Choice B rationale: Proper storage at a cool temperature helps maintain the integrity of the collected urine.

Choice C rationale: Avoiding protein intake during the collection can significantly alter the results of the creatinine clearance test. Eating a regular diet is important to maintain accurate test results.

Choice D rationale: Discarding the first void and starting the collection afterward is a common practice in 24-hour urine collections to ensure a complete sample.

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Correct Answer is B

Explanation

Choice A rationale: Metformin does not significantly affect insulin release from the pancreas or glucagon secretion but reduces glucose production by the liver and enhances insulin sensitivity in tissues.

Choice B rationale: Metformin primarily works by reducing glucose production in the liver and improving the body's response to insulin, thereby lowering blood sugar levels.

Choice C rationale: Metformin does not notably slow carbohydrate absorption in the small intestine.

Choice D rationale: Metformin does not directly increase insulin production from the pancreas.

A. A 60-year-old patient with diabetes who has cellulitis of the left ankle. B. A 50-year-old patient with diabetes just returned from the post-anesthesia care unit after a below-knee amputation. C. A 72-year-old patient with diabetes with diabetic ketoacidosis who is receiving IV insulin. D. A 70-year-old patient with diabetes who is showing signs of hyperglycemia.

Correct Answer is A

Explanation

Choice A rationale: Cellulitis management typically involves wound care, antibiotics, and monitoring. It's a suitable assignment for a new graduate nurse to begin learning about wound management and diabetic care.

Choice B rationale: Post-operative care for an amputation requires experience in assessing and managing post-surgical complications, which might not be suitable for a new graduate nurse.

Choice C rationale: Diabetic ketoacidosis management involves complex insulin therapy and critical care, which might be overwhelming for a new graduate nurse.

Choice D rationale: While hyperglycemia requires monitoring and intervention, the cause and severity need to be determined before assigning this patient to a new

graduate nurse.

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A patient received teaching about the correct procedure in a 24-hour urine collection for creatinine clearance test. Which statement by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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