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 A

Explanation

Choice A rationale: This patient is likely experiencing hyperosmolar hyperglycemic state (HHS). Rapid administration of IV fluids is crucial to correct severe dehydration associated with HHS.

Choice B rationale: Routine insulin therapy and exercise might be components of diabetes management but wouldn't directly address the immediate concern of severe dehydration and high blood glucose.

Choice C rationale: Cardiac monitoring for potassium changes might be necessary but isn't the primary immediate intervention for HHS.

Choice D rationale: Administering a different antibiotic for the UTI is incorrect, because there is no evidence that the current antibiotic is ineffective or causing adverse effects. The UTI may have triggered the HHS, but it is not the main problem that needs to be addressed urgently.

A. Peyronie's disease B. Hypospadias C. Phimosis D. Orchitis

Correct Answer is A

Explanation

Choice A rationale: This is a condition that causes scar tissue to form in the penis, resulting in abnormal curvature, pain, and erectile dysfunction.

Choice B rationale: Hypospadias is a congenital defect in which the opening of the urethra is on the underside of the penis, not at the tip.

Choice C rationale: Phimosis is a condition in which the foreskin of the penis cannot be retracted fully, leading to inflammation and infection.

Choice D rationale: Orchitis is an inflammation of one or both testicles, usually caused by an infection.

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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

Correct Answer is A

Explanation

While performing the genital assessment of a male client, a nurse observes that the client has curvature of the penis. Which condition does the nurse suspect in the client?

Correct Answer is A

Explanation

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