26. The staff nurse is observing the student teaching the client about collecting a 24-hour urine test after discharge. The student understands the collection process if the student's teaching includes:
26. The staff nurse is observing the student teaching the client about collecting a 24-hour urine test after discharge. The student understands the collection process if the student's teaching includes:
. Urine collection container must be kept on ice the whole 24-hour period.
. Need to void, discard the urine, and then start the 24-hour time period.
. The importance of recording the urine volume each time client voids.
. The need to increase oral fluid intake during the 24-hour collection period.
Test-Taking Tip
Choose the option that perpares the client to start the test.
Content Area: Adult Health, Renal; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Diagnostic Tests
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Answer 1 is incorrect because the collection container may or may not need to be kept cold, so saying it must is not accurate. Answer 2 is correct because the 24-hour collection period begins after the client voids and discards the urine. The test measures glomerular filtration of substances such as protein, creatinine, electrolytes, and urinary steroids, which are excreted at different rates, anounts, and times of day. Starting the time after the client voids and discards the urine gives a true picture of filtration during the 24 hours. Answer 3 is incorrect because measuring the urine each time the client voids is usually not required. The test measures results for 24 hours, not more frequently. Answer 4 is incorrect because the test measures filtration of substances. There is no need to increase oral intake but rather maintain a healthy intake of fluids (e.g., 8 glasses daily).