A nurse is caring for a patient who has a prescription for a 24-hour urine collection. Which of the following actions should the nurse take?

Discard the first voiding.

Keep the urine in a single container at room temperature.

Dispose of the last voiding.

Ask the client to urinate into the toilet, stopping midstream, and finish urinating into the specimen

Answer and Explanation

The Correct Answer is A

A. Discard the first voiding:
The first urine is discarded to mark the official start time of the 24-hour period. All subsequent urine is then collected.

B. Keep the urine in a single container at room temperature:
Most 24-hour urine specimens must be refrigerated or kept on ice to prevent bacterial growth and degradation.

C. Dispose of the last voiding:
The last voiding at the end of 24 hours must be collected, or the entire test is invalid.

D. Ask the client to urinate into the toilet, stopping midstream, and finish urinating into the specimen:
This is the technique for clean-catch midstream urine, not for 24-hour collection.

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Correct Answer is F,E,A,C,B,D

Explanation

A. Clean injection port:
This is done after clamping and before connecting the syringe to prevent introducing infection.

B. Inject prescribed solution:
Done only after the syringe is connected to the port.

C. Twist needleless syringe into port:
This ensures a secure and sterile connection before irrigation.

D. Remove clamp and allow to drain:
This step ensures the irrigant and urine can flow out properly after irrigation.

E. Clamp catheter just below specimen port:
Done early to allow retention of solution during irrigation and prevent backflow.

F. Draw up prescribed amount of sterile solution ordered:
First step—preparing the exact amount of irrigation fluid needed.

A. Side-to-side B. Top-to-bottom C. Posterior-to-anterior D. Interspace-by-interspace

Correct Answer is A

Explanation

A. Side-to-side:
This technique allows for comparison of corresponding areas on both lungs to detect asymmetry in breath sounds.

B. Top-to-bottom:
While commonly used during general assessments, this method alone does not allow for comparison between the lungs.

C. Posterior-to-anterior:
This is not a method for auscultation comparison. Lungs are assessed posteriorly and anteriorly, but not as a comparison method.

D. Interspace-by-interspace:
This refers to location, not comparison technique. Side-to-side ensures symmetry is assessed properly.

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A nurse is caring for a patient who has a prescription for a 24-hour urine collection. Which of the following actions should the nurse take?

Nursing Test Bank

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