A nurse teaches a client who has been prescribed a 24-hour urine ...

[cherise1989]

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 2

A 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?

[AmberC1996]

Answer to Question 1

ANS: A
Some hormones are secreted in a pulsatile, or circadian, cycle. When testing for these substances, a collection that occurs over 24 hours will most accurately reflect hormone secretion. Dilution of hormones in urine, secretion of hormone amounts, and ability to collect the correct hormone are not reasons to complete a 24-hour urine test.

Answer to Question 2

ANS: B
Hirsutism, or excessive hair growth on the face and body, can result from endocrine disorders. This may cause a disruption in body image, especially for female clients. The nurse should inquire into the client's body image and self-perception. Asking about the client's financial status or current medications does not address the client's immediate problem. The client is not doing anything to herself to cause the problem, nor can the client prevent it from happening.

[cherise1989]

TYSM

[recede]

Excellent