What should the nurse do when collecting a 24-hour urine specimen?a. Check to verify if a preservative is needed.b. Weigh the client before starting the collection.c. Discard the last voided specimen of the 24-hour period.d. Assess the client's intake and output (I&O) for the previous 24-hour period.

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1. What should the nurse do when collecting a 24-hour urine specimen?

a. Check to verify if a preservative is needed.

b. Weigh the client before starting the collection.

c. Discard the last voided specimen of the 24-hour period.

d. Assess the client's intake and output (I&O) for the previous 24-hour period.

A!

Depending on the purpose of the collection, a preservative to prevent breakdown of the specimen may be necessary. Weighing the client is not necessary. The last specimen should be collected as close as possible to the end of the 24-hour period and added to the urine collected. Collecting urine for the next 24 hours, not checking the I&O for the previous 24 hours, is important.

1

The correct dose is 1 mL. Use ratio and proportion to solve the problem.
A!

Arranging for the nurse manager to be present before confronting the staff nurse is a serious allegation, and confrontation should occur in the presence of a person in a supervisory position. Asking other staff members whether they have noticed anything unusual is unprofessional. The nurse in charge has enough information to confront the other nurse. Telling the staff nurse that everyone now knows who has been stealing the morphine may result in an altercation; a witness should be present. Arranging to secretly observe the staff nurse the next time the staff nurse administers morphine is unprofessional; the nurse in charge has a legal responsibility to intervene.
B!

Bowel training is a program for the development of a conditioned reflex that controls regular emptying of the bowel. The key to success is adherence to a strict time for evacuation based on the client's individual schedule. The indiscriminate use of laxatives can result in dependency. Although previous habits should be considered, the brain attack affects the responses of the client by altering motility, peristalsis, and sphincter control despite adherence to previous habits. The passage of food into the stomach does stimulate peristalsis, but it is only one factor that should be considered when planning a specific time for evacuation.

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All trademarks, logos and brand names are the property of their respective owners. All company, product and service names used in this website are for identification purposes only. Use of these names, trademarks and brands does not imply endorsement.

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