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
Rinsing the child’s mouth with chlorhexidine mouthwash if they develop stomatitis is not recommended. Chlorhexidine can be harsh and may cause further irritation in a child with stomatitis.
Choice B rationale
Ensuring the administration of an antiemetic for 12 hours after chemotherapy is not sufficient. Antiemetics should be given before, during, and after chemotherapy to effectively manage nausea and vomiting.
Choice C rationale
Encouraging eating by providing the child with their favorite foods is not always appropriate. Some foods may exacerbate nausea or be contraindicated during chemotherapy.
Choice D rationale
Using a soft-bristled toothbrush when platelet levels are low is correct. This helps prevent gum bleeding and injury, which is important for children with low platelet counts due to chemotherapy.
Correct Answer is D
Explanation
Choice A rationale
A Power of Attorney (POA) cannot be revoked by a healthcare provider. It can only be revoked by the person who granted it or by a court under certain circumstances.
Choice B rationale
A POA does not need to be appointed by a court. It is a legal document that an individual can create to grant authority to another person to make decisions on their behalf. A Healthcare Proxy specifically grants authority over medical decisions.
Choice C rationale
A POA is not only applicable to minors. It can be used by adults to grant authority over financial matters, while a Healthcare Proxy grants authority over medical decisions.
Choice D rationale
A POA grants authority over financial matters, allowing the appointed person to manage finances, pay bills, and make financial decisions. A Healthcare Proxy grants authority over medical decisions, allowing the appointed person to make healthcare decisions if the individual is incapacitated.