NCLEX-RN

Category - Reduction of Risk

Alex, a 45-year-old seaman, is admitted because of dysuria, urinary frequency and urgency. He is scheduled for an acid-phosphatase test. Which of the following is the most important activity done before the test?
  1. Note recent procedures done to the client.
  2. Inform the client that a urine specimen is needed.
  3. Instruct the client to fast for 6-8 hours.
  4. Inform the client that this tests for benign prostatic conditions.
Explanation
Answer: A - Before the test, the nurse should note recent procedures that may interfere with the test results, such as prostatic needle biopsy or cystoscopy. The nurse should also check if the urinary catheterization was done. Any of these procedures can result in increased acid phosphatase. Option B is incorrect; this examination tests the client’s blood. Fasting is unnecessary; there are no other preparations needed. Option D is also incorrect; this test reveals if the client has prostatic cancer.
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