The nurse plans to collect a 24 hour urine specimen for a creatinine clearance test. Which instruction should the nurse provide to the adult male client?

Urinate at a specified time, discard this urine, and collect all subsequent urine during the next 24 hours.

Urinate immediately into a urinal, and the lab will collect the specimen every 6 hours, for the next 24 hours.

For the next 24 hours, notify nurse when the bladder is full, and the nurse will collect catheterized specimens.

Cleanse around the meatus, discard first portion of voiding, and collect the rest in a sterile bottle.

Answer and Explanation

The Correct Answer is A

A. Urinate at a specified time, discard this urine, and collect all subsequent urine during the next 24 hours: Discarding the first void ensures the collection begins with an empty bladder, and all urine afterward is included for accurate measurement.

B. Urinate immediately into a urinal, and the lab will collect the specimen every 6 hours, for the next 24 hours: This describes timed urine sampling, not a continuous 24-hour collection required for creatinine clearance.

C. For the next 24 hours, notify nurse when the bladder is full, and the nurse will collect catheterized specimens: Routine creatinine clearance testing does not require catheterization unless the client is already catheterized.

D. Cleanse around the meatus, discard first portion of voiding, and collect the rest in a sterile bottle: This describes a midstream or clean-catch technique, typically used for urine cultures, not 24-hour collections.

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Free Nursing Study Resources

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

Explanation

A. Pain scale: Pain is a key symptom of Herpes zoster (shingles), and the effectiveness of treatment is often measured by the relief of pain. The nurse should assess the pain level regularly using a pain scale to evaluate the effectiveness of pain management interventions.

B. Skin integrity: Herpes zoster causes a rash and blisters, and monitoring skin integrity is important to assess for signs of infection, healing, or any new areas of skin breakdown. The healing of the rash and blisters is a key indicator of treatment effectiveness.

C. Bowel sounds: Bowel sounds are not related to the treatment or condition of Herpes zoster. While important in other contexts, they are not a relevant assessment for evaluating the effectiveness of shingles treatment.

D. Functional ability: Functional ability, including the client’s ability to perform activities of daily living, can be impacted by the pain and discomfort associated with shingles. Assessing functional ability helps to gauge the overall impact of the condition and the effectiveness of treatment in improving quality of life.

E. Heart sounds: Heart sounds are not directly related to the treatment of Herpes zoster. This assessment is not necessary for evaluating the effectiveness of shingles treatment unless there are unrelated cardiovascular concerns.

A. Bring a sterile chest drainage unit from central supply to the unit. B. Observe a client's gait to determine the need for assistance. C. Evaluate a client's urinary catheter for proper drainage. D. Call the pharmacy to obtain a client's next antibiotic dose.

Correct Answer is A

Explanation

A. Bring a sterile chest drainage unit from central supply to the unit: This task can be delegated to a UAP. It involves retrieving an item from central supply, which is a non-clinical task and does not require nursing judgment or clinical assessment.

B. Observe a client's gait to determine the need for assistance: While UAPs can observe and report changes, assessing gait for the need of assistance involves clinical judgment and evaluation of the patient's safety, which should be done by a nurse.

C. Evaluate a client's urinary catheter for proper drainage: Evaluating proper drainage involves clinical assessment, which is within the scope of nursing practice, not a task for a UAP. The nurse should assess for proper functioning and any signs of complications.

D. Call the pharmacy to obtain a client's next antibiotic dose: Calling the pharmacy for medications involves communication and clinical decision-making, which is outside the scope of tasks that can be delegated to a UAP. The nurse should handle medication orders.

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The nurse plans to collect a 24 hour urine specimen for a creatinine clearance test. Which instruction should the nurse provide to the adult male client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse assesses a client being treated for Herpes zoster (shingles). Which assessment(s) should the nurse include when evaluating the effectiveness of treatment? Select all that apply.

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

Explanation

Which instruction should the nurse delegate to an unlicensed assistive personnel (UAP)?

Correct Answer is A

Explanation

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