A nurse is preparing to begin a 24-hour urine collection for a client. Which of the following actions should the nurse take?

Discard the first voiding when beginning the test

Store collected urine in a designated container at room temperature

Document any urine collection that was missed during the 24 hours of the testing

Post a notice on the client's door regarding the test

Answer and Explanation

The Correct Answer is A

Choice a reason: Discarding the first voiding when beginning a 24-hour urine collection is a crucial step in accurately measuring the components of urine over 24 hours. This step ensures that the test starts with an empty bladder and provides a precise beginning point. This action prevents the inclusion of residual urine from previous hours, which could affect the accuracy of the test results. The nurse collects all subsequent urine voids in a designated container throughout the test. By discarding the initial void, the measurement captures exactly 24 hours of urine production, crucial for diagnosing and monitoring various medical conditions.
Choice b reason: Storing collected urine at room temperature is incorrect. Urine collected for a 24-hour urine test must be stored in a cool environment, ideally refrigerated, to prevent bacterial growth and the breakdown of urine components. This ensures the urine sample remains stable and accurate for analysis. Storing at room temperature can compromise test accuracy and lead to false results.
Choice c reason: Documenting any missed urine collection is a good practice, but it doesn't directly impact the initial test process. The primary goal is to ensure all urine is collected accurately within the 24-hour window. Missed collections should be minimized to maintain the test's integrity. While documenting is important for transparency and understanding test discrepancies, it is not the immediate action the nurse should take when starting the test.
Choice d reason: Posting a notice on the client's door helps remind healthcare team members about the ongoing 24-hour urine collection. This prevents disruptions and ensures all urine output is collected accurately. However, this action, while important, supports the process rather than directly initiating the test. The nurse can post the notice to ensure everyone involved is aware, but it is not the first step in beginning the urine collection.

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Correct Answer is ["D","E"]

Explanation

Choice a reason: Washing the perineum every 8 hours is not a specific recommendation for preventing urinary tract infections (UTIs). Maintaining good personal hygiene is important, but washing the perineum every 8 hours is not necessary. Regular daily hygiene, including cleaning the perineal area thoroughly, is sufficient to help prevent UTIs.
Choice b reason: Avoid drinking cranberry juice is incorrect. Cranberry juice is often recommended as a preventive measure for UTIs. It is believed to help prevent bacteria from adhering to the walls of the urinary tract, reducing the risk of infection. Drinking cranberry juice or taking cranberry supplements can be part of a strategy to prevent UTIs.
Choice c reason: Drinking large amounts of caffeine is not recommended for preventing UTIs. Caffeine can irritate the bladder and may contribute to urinary frequency and urgency, which are not helpful in preventing infections. Staying well-hydrated with water is more beneficial for urinary health.
Choice d reason: Voiding frequently is an important preventive measure for UTIs. Regularly emptying the bladder helps flush out bacteria that could cause an infection. Holding urine for extended periods can increase the risk of bacterial growth and infection.
Choice e reason: Voiding after sexual intercourse is recommended to help prevent UTIs. This practice helps flush out any bacteria that may have been introduced into the urinary tract during intercourse. It is a simple and effective way to reduce the risk of developing a UTI.

A. Maintain the client on bed rest B. Provide the client a high protein diet C. Encourage the client to drink 3 L of fluids per day D. Tell the client to expect a decrease in urine output

Correct Answer is C

Explanation

Choice A reason: Bed rest is not recommended for clients with urolithiasis because movement can help the passage of stones. Encouraging ambulation can aid in moving the stone and may help it pass more quickly.
Choice B reason: A high protein diet is not typically recommended for clients with urolithiasis. Excessive protein intake can increase the risk of kidney stone formation, particularly in those susceptible to uric acid stones.
Choice C reason: Encouraging the client to drink 3 liters of fluids per day is essential for clients with urolithiasis. Increased fluid intake helps dilute the urine and promotes the passage of the stone. It also helps in preventing the formation of new stones.
Choice D reason: A decrease in urine output is not expected and can indicate a complication such as obstruction. The goal is to maintain or increase urine output to help flush out the stone and prevent complications.

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A nurse is preparing to begin a 24-hour urine collection for a client. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["D","E"]

Explanation

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Correct Answer is C

Explanation

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