A nurse has a prescription to collect a 24-hour urine specimen from a client. Which measure should the nurse take during this procedure?
A. Keeping the specimen at room temperature
B. Saving the first urine specimen collected at the start time
C. Discarding the last voided specimen at the end of the collection time
D. Asking the client to void, discarding the specimen, and noting the start time
Ans: D. Asking the client to void, discarding the specimen, and noting the start time
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A nurse utilizes the SPICES tool (Sleep disorders, Problems with eating, Incontinence, Confu-sion, Evidence of falls, and Skin breakdown) to assess an older female patient in the hospital
The nurse notes that the patient has new onset urinary incontinence. The first action by the nurse is to: a. conduct a more in-depth focused assess-ment of the urinary incontinence. b. call the provider and obtain an order for an antibiotic for a suspected urinary tract infection. c. send a urine specimen for culture and sen-sitivity. d. develop a plan of care with the patient to control episodes of incontinence.
What should the nurse use for mouth care in an older client who is unable to perform teeth brushing independently?
1. Nystatin 2. Chlorhexidine (Peridex) 3. Lemon and glycerin swabs 4. Undiluted hydrogen peroxide
Which diagnostic tests should the nurse include in the plan of care for a pediatric client who is at risk for short stature? Select all that apply
1. Thyroid function studies 2. Adrenocorticotropic hormone (ACTH) and cortisol levels 3. Complete blood count 4. Blood culture 5. Urine creatinine
A nurse had previously heard crackles over both lungs of a patient. As the patient improves, what lung sounds does the nurse expect to hear in the patient's lungs?
a. Vesicular breath sounds heard in peripheral lung fields b. Bronchial breath sounds heard over the bronchi c. Bronchovesicular breath sounds heard over the apices d. Rhonchi heard over the main bronchi