A nurse is providing instructions about a 24-hour urine collection to an adolescent client. Which of the following should the nurse include in the teaching?
Discard the first voided specimen.
Void every hour.
Save the final specimen in a separate container.
Cleanse the perineum with a povidone-iodine solution prior to voiding.
The Correct Answer is A
Choice A rationale
The first voided specimen is discarded to ensure that the 24-hour urine collection starts with an empty bladder and accurately reflects the urine produced over the entire period.
Choice B rationale
Voiding every hour is not necessary and may not be practical for a 24-hour urine collection.
Choice C rationale
The final specimen should be included in the same container as the rest of the 24-hour urine collection.
Choice D rationale
Cleansing the perineum with a povidone-iodine solution is not required for a 24-hour urine collection.
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Correct Answer is D
Explanation
Choice A rationale
Odorless urine is not a specific indicator of effective treatment for acute poststreptococcal glomerulonephritis (APSGN)16.
Choice B rationale
A temperature of 37.2°C (99°F) is within the normal range and does not specifically indicate effective treatment for APSGN16.
Choice C rationale
No report of pain with voiding is not a specific indicator of effective treatment for APSGN16.
Choice D rationale
Clear urine indicates that the hematuria (blood in urine) has resolved, which is a sign of effective treatment for APSGN1617.
Correct Answer is A
Explanation
Choice A rationale
Commercially prepared formulas are designed to meet the nutritional needs of infants and are safe alternatives to breast milk or cow’s milk.
Choice B rationale
Soy milk is not recommended for infants under 1 year of age as it may not provide adequate nutrition.
Choice C rationale
Reinitiating breastfeeding may not be feasible if the mother has stopped breastfeeding for an extended period.
Choice D rationale
Warming goat’s milk does not address the nutritional inadequacies and potential health risks associated with feeding goat’s milk to infants.