A client has a prescription for a 24-hour urine collection. Which of the following actions should be taken by the healthcare provider?

Correct Answer: A

Rationale: Discarding the first voiding is necessary when initiating a 24-hour urine collection to ensure that the collection starts with an empty bladder. This step helps in obtaining an accurate measurement of substances excreted over the 24-hour period without any carryover from the previous voids. Keeping the urine at room temperature or in a sterile container is not specific to the initiation of the collection. Therefore, the correct action is to discard the first voiding.

Correct Answer: C

Rationale: Chicken breast is low in cholesterol and suitable for a low-cholesterol diet.

Correct Answer: C

Rationale: Dark-colored urine is a common sign of dehydration as the urine becomes concentrated. Dehydration leads to reduced fluid intake or excessive fluid loss, causing the urine to be darker in color due to increased urine concentration.

Correct Answer: B

Rationale: Narcotic analgesics work on the CNS (A), cause dependence (C), and may depress respiration (D), per opioid action. No ceiling effect (B) is untrue opioids have a dose limit beyond which pain relief plateaus, unlike non-opioids. B's falsehood contrasts with pharmacology, making it the correct not-true statement.

Correct Answer: A

Rationale: Monitoring the pulse before taking digoxin is important to prevent bradycardia.

Correct Answer: C

Rationale: A clear liquid diet includes easily digestible liquids that are transparent. Chicken broth is a suitable option as it meets the criteria of being clear and liquid, making it appropriate for a clear liquid diet. Milk, vegetable juice, and orange juice with pulp are not considered clear liquids.

Correct Answer: D

Rationale: Evaluating pain level requires RN assessment skills, beyond a UAP's scope weight, stool collection, and intake/output are delegable tasks. Nurses retain this duty, ensuring accurate pain management, while assigning routine duties to UAPs for efficiency in care delivery.

Correct Answer: C

Rationale: Fresh fruits are naturally low in sodium, making them a suitable choice for a low-sodium diet. They provide essential nutrients and are a healthy option for individuals who need to limit their sodium intake.

Correct Answer: B

Rationale: Placing a sign on the client's door is crucial in alerting healthcare providers to the client's latex allergy, helping them avoid using latex products, which can trigger an allergic reaction. This precaution can prevent accidental exposure and ensure the client's safety during care.