Don't you guys just hate it when there is a terrible test question! Here is a question, that I think sucks!!!
I can't remember the exact wording--
- You know that your patient has fully understood how to perform his creatine clearance test when he makes the following statment:
A: I will cath myself to get my specimen
B: I will completley empty my bladder into the container
C: It is okay if I accidentlly flush some urine down the toliet
D: I will collect all my urine for 24 hours
So--I picked B. However, my teacher says the answer is D. But, in a creatine clearance test you are supposed to throw away your very first morning urine (or at least that is what we were taught) My teacher admits that the question is bad--but wont give me the 2 points. I just don't understand how D can be correct, when you are not supposed to collect "all" of the urine.
Specializes in ICU, Home Health Care, End of Life, LTC.
I have to agree with the majority here. It wasn't a bad question. You are over reading the concept of collecting all urine. They are not collecting all their urine ever! They are collecting all urine for 24H after the first AM voiding. But keep up the examination of questions, it will develop your critical thinking and ability to understand the whole picture surrounding a question.
The test does collect all urine during a 24-hour period. The point of discarding the urine prior to 9am (or whatever time) is because that urine was produced BEFORE the start time/blood draw. Its been sitting in the bladder for who knows how long.
Specializes in Critical Care - Adults, Peds & Neonates.
I agree wholeheartedly......BAD answer choices.Ugh!
Unlike some of the posters above, I think you exhibited tremendous critical thinking skills. You analyzed the question and answers and found them ALL to be lacking somewhat, based on what you've been taught so far. This is a test question and the answers provided were confusing/misleading. D was likely better to indicate a patient's FULL understanding, however B was the only answer choice that was factually correct......in that you were taught that the patient should collect/save for slightly less than 24 hours. IMO, you had every right to protest.
In my book (as one who is still in pre req classes for Nursing...but currently in a profession requiring critical thinking skills), you did good! Keep fighting! :)
I am currently in nursing school, wrapping up my first year at UIC. College of Nursing. I totally agree with Daytonite and others, the answer is D, and that is the one I picked, for a few reasons.
First of all, a creatnine clearance test is performed by someone taking urine specimins for 24 hours and keeping them on ice. If your patient is aware that it is a 24 hour test, and that he cannot flush away any of his urine for 24 hours, he understands the test! It is a 24 hour test, nothing less than 24 hours.
From one nursing student to another, I would remember one important thing about the NCLEX: it tests you on the BEST ANSWER, that may not be what you have been taught. You will need to remember this clinically as well, you need to be able to think independently.
There is nothing wrong with the question, but I would urge you to continue to practice NCLEX questions. Your teacher telling you the question was bad isn't helping you; this is the very type of question you will see on the NCLEX, and you need to be aware of that fact right now.
Exactly, when you take NCLEX you won't get any extra points for missed answers. Remember, don't try to read in too much into the question. In this question they are looking to see if you basically know what the creatine clearance test is, which is that it's a 24 hour urine test. That's all they want. They aren't looking for the intricacies of the test.
I would have never picked B. It doesn't tell you anything. "I will completely empty my bladder into the container"? What does that tell you? That answer gives you absolutely no information about the test. It is one sentence that says nothing but that the patient should pee into a container and totally empty his bladder. It doesn't say how many times he should do that, how long, or anything. It just says that he should completely empty his bladder into the container. I'm really surprised the teacher gave you credit.
This question sounds familiar, btw. I remember it from either school or NCLEX and that was a long time ago.
Specializes in Critical Care - Adults, Peds & Neonates.
i must admit to being a bit puzzled by these responses. the op has not exhibited in any way, shape or form that she will not be prepared for the nclex. she is critically thinking. she is analyzing. she is breaking apart what appears to be a decent question w/ bad answer choices. please help me to understand why some don't see what she is saying here.
my understanding from a subsequent post by the op is that she/he was taught (incorrectly it seems) that the 24 hour period began before the first uncollectible urine....therefore "d" is not fully correct. it may be the answer that would have been correct for many or all of you, but for the op and his/her class, it contained a flaw. said flaw is what makes the answer choices misleading/bad for this class and this professor (the same professor who taught that the 24 hour period begain before the first uncollectible urine). because of the way the op was taught, the patient would not be exhibiting full understanding of the creatine clearance test if he stated what was indicated in "d" simply b/c the op was taught that the patient does not collect all of his urine during the 24 hour period.
did i read the 2nd post from the op wrong? it is my understanding that she was nottaught this:
collection of the 24-hour urine sample
you start collecting your urine in the morning. when you first get up, empty your bladder but do not save this urine. write down the time that you urinated to mark the beginning of your 24-hour collection period.
for the next 24 hours, collect all your urine. your doctor or lab will usually provide you with a large container that holds about 1 gal (4 l). the container has a small amount of preservative in it. urinate into a small, clean container and then pour the urine into the large container. do not touch the inside of the container with your fingers.
keep the large container in the refrigerator for the 24 hours.
empty your bladder for the final time at or just before the end of the 24-hour period. add this urine to the large container and record the time.
do not get toilet paper, pubic hair, stool (feces), menstrual blood, or other foreign matter in the urine sample.
maybe it would have been better for the professor to explain why he/she was incorrect in teaching that the 24 hour period for the creatine clearance test began before the first uncollectible urine. (that is, after giving everyone 2 points for teaching it the wrong way in the first place). that way, the op does not leave nursing school w/ the wrong information.
i could be missing something, though. i wasn't in the op's class.
in law school/in life/as an attorney, you must read into things/test questions........that is what critical thinking is all about. please don't tell me that nurse educators believe that reading into questions is a bad thing. that doesn't make any sense to me.
You seem to be missing the fact that answer 'B' basically doesn't tell you a thing about the test. It says "I will completely empty my bladder into the container" Can you please explain what that tells you about the 24 hour urine test? ... very little
Specializes in Critical Care - Adults, Peds & Neonates.
You seem to be missing the fact that answer 'B' basically doesn't tell you a thing about the test. It says "I will completely empty my bladder into the container" Can you please explain what that tells you about the 24 hour urine test? ... very little
How am I missing that?
What I indicated in my first response was that ALL of the answer choices were lacking....based on what the OP was taught in HIS/HER class. That's why she and the rest of her class deserved the two points.
Maybe we should all brush up on what critical thinking is before we jump all over each other.
Will chime in with the majority here - whether the questions are good or bad, that is how it is. You need to figure out how to answer them to be successful. Like another said - you aren't going for the "absolutely true" or "absolutely false" answer, you always choose the best answer. The best answer is D.
I have also had questions where I felt all answer options were correct - same thing, have to pick the best, or most correct, or most important.
What I indicated in my first response was that ALL of the answer choices were lacking....based on what the OP was taught in HIS/HER class. That's why she and the rest of her class deserved the two points.
Maybe we should all brush up on what critical thinking is before we jump all over each other.
Maybe you need to brush up on your critical thinking skills.
Answer D is the ONLY answer that in any way describes the 24 hour urine collection, and it does so very simply. All other answers don't come close.
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Junebugfairy
337 Posts
actually, i don't think it was a bad question at all.
i agree!