To obtain a double-voided urine specimen, the nurse instructs the client to:
A. Save two separate specimens from the first voiding in the morning
B. Add two specimens together from the morning and evening voiding
C. Discard the first sample, then wait half an hour and void again
D. Void first and then self-catheterize to obtain the specimens
C
C and D. Ask client to collect random urine specimen and discard, drink a glass of water, and collect another specimen 30 to 45 minutes later
A. Stagnant urine stored in bladder overnight or for long periods does not reveal amount of glucose and ketones excreted by kidney at time of testing
B. A fresh specimen should be used because stagnant urine that has been in the bladder for several hours will not accurately reflect serum glucose level at time of testing
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When entering a client's room, a nurse observes the client laughing. The nurse asks what is making the client so happy. The client states angrily, "I'm not happy, you fool! I'm very upset," and then begins to cry
The nurse would note this behavior when evaluating the client's: a. emotional status c. mental status b. intellectual function d. orientation
By the second postpartum day, the nurse would expect a new mother who had an uncomplicated vaginal birth to:
1. request help with ambulation and perineal care. 2. be interested in learning more about infant care. 3. sleep most of the time when the infant is not present. 4. be very excited and talkative about the birth experience.
The nurse is caring for a patient who is receiving intravenous theophylline. The patient complains of headache and nausea. The nurse will contact the provider to
a. change the medication to an oral theophylline. b. obtain an order for a serum theophylline level. c. request an order for an analgesic medication. d. suggest an alternative methylxanthine medication.
In explaining to a patient who is being dismissed from the hospital that he has a clean-contaminated wound, the nurse states:
1. "Although the wound is an incision, it was grossly contaminated during surgery, so it is important to notify your physician if the drainage increases." 2. "Your incision seems to be developing a purulent drainage. Make sure that you notify your doctor if you notice that the drainage develops a foul smell." 3. "Your drainage cultured a high number of microorganisms, but since we've seen no evidence of infection and you are taking an antibiotic, you probably don't need to worry about it." 4. "Surgical wounds are exposed to normal flora that resides on the skin. It is important to observe it for signs of infection, such as drainage that turns yellow or green."