Which set of instructions is most appropriate when preparing the patient for collection of a 24-hour creatinine clearance for a prelithium workup?
a. "Collect all urine when you wake up and for 12 hours thereafter, and then discard all collected urine, noting the time. Begin again to collect all urine, and refrigerate it for the next 12 hours after your blood is drawn.".
b. "Discard your first morning urine on awakening, and then begin to time and collect your urine. Keep it refrigerated in a clean 3-L plastic container. Your blood may be drawn at any time during the collection.".
c. "Sign this consent form; then collect your urine for the next 24 hours after discarding the first urine of the morning and then refrigerate the clean 3-L container between voidings.".
d. "Sign this consent form, and then begin to collect your urine in a clean 3-L plastic container for 24 hours. You may refrigerate the urine collection if you wish.".
B
No consent form is required for this 24-hour urine and serum collection. Blood may be drawn at any time during the collection. In the morning the first voiding is discarded, and then the collection is timed and urine is collected for 24 hours. All urine is stored in a clean, 3-L plastic container that is refrigerated when not in use and then delivered to the lab. Teaching the patient the procedure for a 24-hour creatinine clearance as part of a prelithium workup (urinalysis, BUN, TSH, T3 and T4, FBS, and a complete physical examination with history and workup for family history of renal disease, diabetes mellitus, hypertension, diuretic use, and analgesic abuse) is required.
You might also like to view...
Your patient has the following arterial blood gas results: pH 7.26, PaCO2 28, HCO3 11 mEq/L. How would the nurse interpret the results?
A) Respiratory acidosis with no compensation B) Metabolic alkalosis with a compensatory alkalosis C) Metabolic acidosis with no compensation D) Metabolic acidosis with a compensatory respiratory alkalosis
List 4 dietary sources of iron
What will be an ideal response?
A client who was nearly raped a month ago is referred to a nurse who is trained as a rape crisis counselor. The nurse schedules appointments for the client three times a week for 3 weeks
Which therapeutic approach should the nurse use in her work with this client? A) Psychoanalytic B) Psychodynamic C) Reality-oriented D) Family-oriented
What can be said about the state health departments in the United States?
A. Are remarkably consistent in services available to their citizens. B. Have many different departments, commissions, agencies, and boards. C. Primarily depend on federal funding and guidance in health concerns. D. Rarely delegate either authority or funds to local boards of health.