A nurse teaches a client who has been prescribed a 24-hour urine collection to measure excreted hormones. The client asks, Why do I need to collect urine for 24 hours instead of providing a random specimen? How should the nurse respond?
a. This test will assess for a hormone secreted on a circadian rhythm.
b. The hormone is diluted in urine; therefore, we need a large volume.
c. We are assessing when the hormone is secreted in large amounts.
d. To collect the correct hormone, you need to urinate multiple times.
Question 2A nurse assesses a female client who presents with hirsutism. Which question should the nurse ask when assessing this client?
a. How do you plan to pay for your treatments?
b. How do you feel about yourself?
c. What medications are you prescribed?
d. What are you doing to prevent this from happening?
Question 3A nurse collaborates with an unlicensed assistive personnel (UAP) to provide care for a client who is prescribed a 24-hour urine specimen collection. Which statement should the nurse include when delegating this activity to the UAP?
a. Note the time of the client's first void and collect urine for 24 hours.
b. Add the preservative to the container at the end of the test.
c. Start the collection by saving the first urine of the morning.
d. It is okay if one urine sample during the 24 hours is not collected.
Question 4A nurse prepares to palpate a client's thyroid gland. Which action should the nurse take when performing this assessment?
a. Stand in front of the client instead of behind the client.
b. Ask the client to swallow after palpating the thyroid.
c. Palpate the right lobe with the nurse's left hand.
d. Place the client in a sitting position with the chin tucked down.
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