Author Question: A nurse collaborates with an unlicensed assistive personnel (UAP) to provide care for a client who ... (Read 165 times)

urbanoutfitters · **on:** Jun 25, 2018

A 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 2

A 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.

KKcool · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
The collection of a 24-hour urine specimen is often delegated to a UAP. The nurse must ensure that the UAP understands the proper process for collecting the urine. The 24-hour urine collection specimen is started after the client's first urination. The first urine specimen is discarded because there is no way to know how long it has been in the bladder, but the time of the client's first void is noted. The client adds all urine voided after that first discarded specimen during the next 24 hours. When the 24-hour mark is reached, the client voids one last time and adds this specimen to the collection. The preservative, if used, must be added to the container at the beginning of the collection. All urine samples need to be collected for the test results to be accurate.

Answer to Question 2

ANS: D
The client should be in a sitting position with the chin tucked down as the examiner stands behind the client. The nurse feels for the thyroid isthmus while the client swallows and turns the head to the right, and the nurse palpates the right lobe with the right hand. The technique is repeated in the opposite fashion for the left lobe.