A nurse is caring for a client who requires a 24 hour urine collection

A nurse is caring for a client who requires a 24 hour urine collection. "You may not experience any symptoms of Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a stage III pressure injury on the sacral area. A 24-hour urine specimen and a serum creatinine level midway through the urine collection In the urethra, A nurse is caring for a client with impaired renal function. Which techniques for urine collection are performed correctly? Select all that apply. Follow your physician’s advice regarding any food, drink or drugs before and Some clients may have a 24-hour urine collection order, where all the urine the client produces in a 24-hour period will be collected for testing. The nurse is caring for a client who describes changes in voiding patterns. Collect urine for a 24-hour urine collection. 3Document the time of the Study with Quizlet and memorize flashcards containing terms like A client expresses frustration at the inconvenience of having to collect urine for an entire day and night as part of a prescribed 24-hour urine collection test. -Discard first urine just before starting the test, then collect urine thereafter. 24-hour urine specimen. What foods would the nurse suggest the client eliminate that are rich in potassium? Urine output of 250 ml/24 hours. The nurse anticipates that what type of urine specimen will be ordered? A) Routine urine specimen B) 24-hour urine specimen C) Midstream urine specimen D) Timed urine specimen, Each of the following terms are used interchangeably with urinary elimination except: A) Voiding. Which actions should the client take to initiate this collection? Discard the first morning void, then continue the collection for A nurse is planning care for a client who underwent a percutaneous needle biopsy of the kidney. mKeep all the voidings in a container at room temperature. The nurse is caring for a client who has required indwelling E. 31 of 125. A client who has glucose in his urine, A nurse removes an indwelling urinary catheter that an older adult client has had Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client during the first 72 hours after thyroidectomy. Which of the findings below that that require intervention by the nurse? -Client is repositioned every 2 hr. This choice is not appropriate. Therefore, the client is instructed to void, discard the first urine, note the time, and start the While providing care for the client, the nurse notes a significant drop in saturation when the client is placed in which position? 1. What will be the first thing the nurse will ask the client to do at the beginning of the specimen collection? 1. The nurse should assess for which signs of complications of this surgery?, A client is seen in the clinic for newly diagnosed hypothyroidism. The client informs e) The nurse collects a urine specimen from a patient with a urinary diversion by catheterizing the stoma. Discard the last voided specimen at the end of the collection period. Keeping the urine collection container on ice. C: Notify the healthcare provider of the situation. " 2. Select all that apply. Constipation B. A nurse caring for patients in a long-term care facility is often required to collect urine specimens from patients for laboratory testing. Inform the client that the urine is bloody. An older client requiring assistance with a bed bath and frequent ambulation 4. The unlicensed assistive personnel (UAP) reports that, while pouring urine into the collection container, some urine splashed his hand. Question: A nurse is caring for a client who requires a 24-hr urine collection. restricts activity to bed rest for a 4 Which nursing care plan reflects proper care? This will inform the staff that the client is on a 24-hour urine collection. The nurse would provide which information to the client? Nurse may need clamp to allow collection of urine within tubing case urine output decreased 1275. Your urine test will not be accurate and you may need to do the urine collection again if, for any reason, any of the urine you pass during the 24-hour time period is not put into the provided collection container and returned as instructed. xjuliuhhhx. ncbi. Himabindu Sreenivasulu The nurse is caring for a client who has an order for a 24-hour urine specimen collection. encourage the client to get up and exercise b. Document the discarded Study with Quizlet and memorize flashcards containing terms like The term used to describe total urine output less than 0. report bright pink urine within 24 hours after the procedure. (C) drink 2 L of water. Which of the following statements by the AP indicates that the specimen collection will have to be restarted? A. The nurse aide has raised the height of the client's bed to provide care to the client, but the nurse After discarding the 8:00 am specimen A 24-hour collection of urine is the primary test of renal clearance used to evaluate how well the kidney performs this important excretory function. Which actions should the nurse take when collecting this specimen? Select all that apply. Study with Quizlet and memorize flashcards containing terms like The health care provider has prescribed a 24-hour urine specimen on a 15-year-old client. During the afternoon of the testing period, the patient forgets and accidentally voids in the toilet but tells the nurse right away. Which of the following actions shouldthe nurse take?Begin collecting urine after the client's first void. This means you go home the same day. The client is initially instructed to void and discard the urine. The nurse should instruct the client to: limit oral fluid intake for 1 to 2 weeks. The following instructions will guide you in the proper collection of a 24-hour urine specimen. Question 6 See full question 11s The nurse has an order to obtain a 24-hour urine from a client Find step-by-step Health solutions and your answer to the following textbook question: A nurse is caring for a client who requires a 24-hour urine collection. In which laboratory value will the nurse be most interested?, The nurse is caring for a client with urinary stress incontinence. Placing a patient on a cardiac monitor requires a physician's order and would warrant further assessment The concentration test requires the client to fast after a given time in the evening and then three urine specimens are collected in hourly intervals. The UAP has been trained to safely ambulate clients. teach the client how to perform Numbness and weakness in the left arm Nausea and severe headache Chest pain score of 3 (on a scale of 1 to 10) Urine output of 40 mL over the past hour, The nurse is caring for a client with hypertension. The unlicensed assistive personnel (UAP) reports discarding a urine specimen of 250 mL at 10:00 AM by mistake but Hartmans nursing assistant care. A 24-hour urine specimen to assess the presence of vanillylmandelic acid (VMA) is prescribed to e. , A nurse caring for patients in an extended-care facility C Nurses use a total client care model when assigning a nurse complete care for one client. Reassure the client that it is not possible for her to urinate C. Urine collection kit Study with Quizlet and memorize flashcards containing terms like A client with acquired immunodeficiency syndrome is suspected of having cutaneous Kaposi's sarcoma. ", (5) "At the end of 24 hours, void and A client started a 24-hour urine collection test at 6:00 AM. "It is important that you not prepare food for others. clean-catch specimen c. Other Information When caring for a client who requires a 24-hour urine collection, the nurse should follow these steps: Educate the client: Explain the purpose of the 24-hour urine collection and provide clear instructions on how to collect and handle the urine. Which of the following actions should the nurse take when obtaining a wound culture specimen from the pressure injury?, An assistive personnel (AP) is collecting a 24-hour urine specimen from a client. Recatherize the bladder with a larger-gauge catheter D. Which of the following instructions should the nurse include a. Which of the following actions should the nurse take? Begin collecting urine after the clients first PATIENT & CAREGIVER EDUCATION. Which of the following actions should the The nurse has an order to obtain a 24-hour urine specimen from a client. Care is provided by home health assistants, who bath, feed, and provide companionship when the family is not available. The nurse is caring for a client with a non-healing wound and has called the health care provider to request new diet orders. 2Provide education to the client about the prescribed diagnostic test. Pelvic muscle tone D. The client states, "I feel the urge to empty my bladder several times an hour and when the urge hits me I have to get to the restroom quickly. , A nurse caring for patients in an extended-care facility performs regular assessments of the patients' urinary functioning. All urine must be Study with Quizlet and memorize flashcards containing terms like A new graduate nurse and their preceptor must collect several urine specimens for laboratory testing. Study with Quizlet and memorize flashcards containing terms like A nurse collects a urine sample from a client and notes that the urine appears somewhat red. Posting signs will help ensure that all the urine is saved during the 24-hour period. a client in septic shock that is unresponsive 2. When conducting a 24-hour urine collection, it's essential to include all urine produced during the specified time frame. Which of the following actions should the nurse take? a. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a 75-year-old uncircumcised male client who needs assistance with a urine specimen collection. c) Strain all urine for 48 hours. After the client's next voiding 2. How should the nurse obtain this Study with Quizlet and memorize flashcards containing terms like The nurse is reinforcing nutritional information with a client with a leukocyte (WBC) count of 2,500/µL (2. Notify the laboratory staff d. B. A 24-hour urine collection is a simple diagnostic procedure that measures the components of urine. Extend A client scheduled for a cardiac catheterization c. The urine output is 60ml per hour 2. A The creatinine clearance test uses 24-hour urine and serum creatinine levels to determine glomerular filtration rate, Empty the collection bag regularly. " B. encourage the client to drink 3,000 ml A review of the client's data collection reveals the client has a history of spinal surgery and states, "I urinate all the time and cannot predict when I will urinate. Dispose the last voiding d. Wash, Study with Quizlet and memorize flashcards containing terms like A nurse obtains a capillary blood glucose result of 180 mg/dL from a client who has diabetes mellitus. Which lab result requires follow up by the nurse? Select What happens during a 24-hour urine collection? A 24-hour urine collection may be done on an outpatient basis. A blood sample of 1 mL (with a minimum of 0. It will end 24 hours later. perform chest physiotherapy prior to suctioning c. Left side 3. Wipe the The serum sample must be collected within 24 hours of urine collection. therapy with a nephrotoxic antibiotic. Question the client about what medications he or Study with Quizlet and memorize flashcards containing terms like The nurse has an order to obtain a 24-hour urine from a client. What concern about the client requires the nurse to notify the health care provider?, A 40-year-old male is prescribed Metformin XL (Glucophage) to control his type 2 diabetes mellitus. Hydration status G. c. A client who reports painful urination of a b. What is an important nursing responsibility during a 24-hour urine collection for this client? Keeping the client quiet and reducing stress. Study with Quizlet and memorize flashcards containing terms like The nurse is choosing a collection device to collect urine from a nonambulatory male client. The nurse should prepare the client for which test to confirm the presence of this type of sarcoma?, The nurse is planning care for a client returning to the nursing unit after a Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is complaining of difficulty urinating. This information explains how to collect and store your urine (pee) for A nurse is caring for a client who has just undergone surgery to create an ileal conduit for urinary elimination via a stoma. which of the following actions should the nurse take? a. The total collection time should be at least 22 hrs but no more than 26 hrs. Ask the client to urinate and pour the urine and into a specimen container. monitor the temperature as an indicator of the infection. The client voids at 0900, and the urine is discarded. " Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a patient with impaired renal function. "I'll make sure to keep the collection The nurse is caring for a client who is describing urinary symptoms of needing to go to the bathroom with little notice. The nursing assistant is capable of caring for the client with a Assess for decreased urine output. (SELECT ALL THAT APPLY) The nurse is teaching a client how to collect a 24-hour urine specimen for creatinine clearance. The nurse is caring for a client with an indwelling urinary catheter secondary to neurogenic bladder. Place the tasks in the correct order for collecting a urine specimen, from first to last. Which action would be appropriate to implement when collecting a 24-hour urine test? 1 Start the time of the test after discarding the first voiding. Which urine specific gravity would be expected in a patient admitted with dehydration? a)1. ? c) Which client requires the most immediate intervention by the nurse? Initiate a 24-hour urine collection. Which of the following actions should the nurse take?Begin collecting urine after the client's first vold. The testing is usually performed in an outpatient setting while the 4. 002 b)1. Add the voiding at the beginning of the test and have an empty bladder D. Taking a shower or bath 2. Study with Quizlet and memorize flashcards containing terms like A client in a nursing home is diagnosed with urethritis. "I used a container from the lab that has a preservative in it. Explain the purpose and length of the test to the client. 2 Teach client to void only one time per hour. First you want to clean yourself before you pee into a cup, and label it correctly B. Attach a list of all medicines, including over-the-counter medicines, vitamins and herbal remedies, your child took during the 24-hour urine collection. Prepare for urinary catheterization. The nurse caring for a patient after cystoscopy plans that the patient a. A simple single specimen, urine The nurse is caring for a 74-year-old client scheduled for a cardiac catheterization with contrast dye. Results of a client The nurse has begun 24-hour urine collection on a patient with a urinary catheter. Which instruction would be accurate for collection of the specimen?, Which is the test that would provide Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is unstable and has vital signs measured every 15 min by an electronic blood pressure machine. The blood pressure suddenly drops from 120/74 mm Hg to 88/48 mm Hg, heart rate increases from 80 to 100/min, and the client appears confused. What would be the nurse's best response? A male client is on a 24-hour timed urine study and will collect urine at home. Tell your nurse if you forgot to save any of your urine during the collection period. Option 3 is a retrograde pyelography, which requires the injection of a contrast media. 4. A nurse is contributing to the plan of care for a client who has a prescription for a 24 hr urine specimen. To help reduce a patient's risk of recurrent cystitis, the nurse teaches the patient to: Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client about home collection of a stool specimen for fecal occult blood testing. The nurse most often does the urine collection for in-patients. Restart the urine collection e. J is a 63-year-old woman who is admitted directly to the medical unit after visiting her health care provider (HCP) because of shortness of breath and increased swelling in her ankles and calves. Which of the following statements by the client indicates an understanding of the teaching?, A nurse is assessing a client who has been on bed rest for the past month. What interventions should the nurse initiate? A: Discard the urine and start another 24 hour period. The patient ordered on a timed urinary collection will require the most involvement by the nurse. Store the urine in the specimen container with preservatives at room temperature. A new nurse is palpating a client's thyroid gland. ***5. Medically reviewed by Mia Armstrong, The nurse knows that the best explanation of fluctuation cessation is that:, The nurse is caring for a client with acute pancreatitis who is receiving total parenteral nutrition (TPN) for three days. develops acute renal failure (ARF) after receiving I. A 24-hour urine collection is done by collecting your Discard the client's last urine specimen at the end of collection. Which assessment would be a priority?, The nurse has an order to obtain a 24-hour urine specimen from a client. 15 b. A 24-hour urine collection is done by collecting your urine in a special container over a full 24-hour period. Get a bedside commode to assist the client in urine collection. A 24-hour urine specimen for creatinine and electrolytes has been prescribed for a hospitalized client to evaluate kidney function. The fundus is located 2 fingerbreadths above the umbilicus. Which statement indicates an understanding of the diet needed for this client? The nurse recognizes 2. Generally, a 24-hour urine collection follows this process: A nurse is caring for a client who requires a 24-hour urine collection. . is frustrated at the inconvenience of having to collect his urine for an entire day and night as part of an ordered 24-hour urine-collection test. Assess for coexisting conditions of diabetes, heart failure, and kidney dis-ease. Normal output d. The client is not catheterized. Treatment is aimed at reinforcing good glycemic control by advising the client to manage their diet by controlling their intake of carbohydrates. She is being admitted with a diagnosis of chronic kidney disease. Test 1 112. Which statement by the client indicates that teaching has been effective?, The nurse is caring for a client with a prescription for a midstream urine specimen. The client tells the nurse that the last voiding was accidentally flushed instead of saved in the container. This is evidence that the client's diabetes is progressing and causing vascular damage. b. What information is important for the nurse to discuss with the client?, A nurse is caring for an older adult client at his home. The nurse is caring for a client who has sustained a cervical spinal cord injury with resulting muscle wasting due to immobility. Before you start make sure you have a full bladder before voiding C. Diabetic nephropathy is marked by the client having proteinuria (> 300 mg in a 24-hour urine collection). learns to request narcotics for pain. Decreased output c. What should the nurse plan to do immediately after the biopsy? (Select all that apply). Part 3. A 24-hour urine sample is collected from the patient to measure CrCl. Store the urine in the specimen container with preservatives at room temperature. Nurses use a team nursing model when assigning a team to care for a group of clients. 2. On initial shift rounds, his primary nurse finds his indwelling urinary catheter collection bag too full to store more urine. , A nurse caring for patients in an extended-care facility performs regular assessments of the patients' urinary In the urethra, A nurse is caring for a client with impaired renal function. To help reduce a patient's risk of recurrent cystitis, the nurse teaches the patient to: A nurse is caring for a client who requires a 24-hour urine collection. A client with liver and renal failure has severe ascites. 021 d)1. 45 d. Option 4 is a cytoscopy, which uses a lighted The primary health care provider prescribes a 24-hour urine collection for a client with suspected Cushing syndrome. Reinforce client education c. What should the nurse tell the client to avoid while monitoring is in progress? 1. 30 c. a. Arrange for the baby to room-in. End of Collection The nurse is teaching a client who is scheduled for a 24 hour urine collection from NURSING NCLEXRNPAR at Capscare Academy for Health Care Education Inc. A preservative will be added to the collection container. A nurse caring for patients in an extended-care facility performs regular assessments The nurse has recorded a 24-hour protein intake for the client of 75 grams. B) The sympathetic system carries inhibitory impulses to the bladder tell the patient to void and pour the urine into a labeled specimen container b. The nurse notes on the intake and output record that the total urine output for the previous 24 hours was 35 mL. A nurse is caring for a client who has an infant age 4 months. , A provider prescribes a 24 hr urine collection for a client. Which instructions should the nurse give the client regarding this test? Select all that apply. Which actions should the nurse take? (Select all that apply. A) The bladder serves as a temporary reservoir for urine. D. ask the patient to void first into the toilet, stop midstream, and finish voiding into the sterile specimen container c. The urine collected should be poured into the large brown container. Definition. 1. 24-hour specimen A 24-hour urine specimen is required for accurate measurement of the kidney's excretion of substances that the kidney does not excrete at the same rate A client is on a 24-hour urine collection. , A urine culture and sensitivity requires the collection of sterile urine collected by clean After your 24-hour urine collection period If you collected your urine while you were at home: You’ll have an appointment within 24 hours after your urine collection period ends. This is the start time of your urine collection period. The client who requires a 24-hour urine collection 2. Take vital signs every hour c. -Feet are warm. c Because creatinine clearance testing involves a 24-hour urine specimen, the nurse should obtain a large container for the urine collection. No action is required b. Which instruction is most important for the nurse to reinforce? a. nlm. repeat the test using a different glucometer c. The AP ensures that urine specimens are Question: A nurse is caring for a client who requires a 24-hr urine collection. Urinary incontinence D. "I will not eat any fatty foods when I am collecting urine for this test. The nurse also sends the specimen to the laboratory within 1 hour of collection. Blood Specimen. nih. It allows for a precise start time for the collection process. Q&A. Assess creatinine clearance using a 24-hour urine collection test. Because you’ll be collecting urine for an extended period of time, the Question: A nurse is caring for a client who requires a 24-hr urine collection. random specimen d. After reviewing the 24-hour urine collection Study with Quizlet and memorize flashcards containing terms like The student nurse studying the anatomy and physiology of the urinary system knows that the following are functions of the bladder. • A client started a 24-hour urine collection test at 6:00 AM. Which of the following directions should the nurse give the client? (2), "Discard the first voiding and record the time. A creatinine clearance measurement has been ordered. ) Keeping the urine collection container on ice when indicated Withholding all patient medications for the day Irrigating the sample as needed with sterile solution Testing the urine sample with a reagent strip by Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who requires a 24-hr urine collection. A 24 hour urine specimen requires starting with an empty bladder. ", 2. Which topics should the nurse include in a client teaching plan? Select Which statement by the new nurse requires immediate intervention by the experienced nurse? a. m. Which assessment findings are consistent with the clinical manifestations of urinary dysfunction? Select all that apply. Study with Quizlet and memorize flashcards containing terms like The nurse is evaluating the potential presence of a urinary tract infection (UTI). Option 1 is not appropriate since the first voided specimen is to be discarded. Add the time since the previous voiding Final answer: The question pertains to the understanding of a 24-hour urine collection procedure. The nurse discards the first urine of the day when performing a 24-hour urine specimen collection on a patient. Asking the patient to notify the staff before and after every void. 4 mg /dL (62 to 124 mcmol/L). A client on a mechanical ventilator requiring frequent assessment and suctioning Requires that one nurse take care of For timed urine collections such as the 24-hour urine creatinine clearance, accurate collection over the entire period is crucial, as under- or over-collection can significantly affect the results. Study with Quizlet and memorize flashcards containing terms like A nurse caring for patients in a long-term care facility is often required to collect urine specimens from patients for laboratory testing. The timer should be set to 24 hours starting at the end of the first void. Procedures may vary depending on your condition and your healthcare provider's practices. A 24-hour urine collection is not necessary to diagnose bacterial cystitis. The nurse conducts safety rounds within the nursing unit. 010 c)1. Ms. prepare for urinary catheterization 3. report the presence of fine, sandlike particles through the nephrostomy tube. d)"Immediately notify the nurse assigned to the care of your patient. Blood urea nitrogen. At midnight 3. Urinal. Which condition would this test verify?, A sterile urine specimen for culture and sensitivity has been ordered for a client who has an indwelling urinary catheter. The nurse should obtain additional information that may indicate acute rejection; therefore, the nurse must first assess for decreased urine output and changes in vital signs. Ask the client how long he or she has had reddish urine. change the catheter daily. provide perineal care several times a day. The nurse is most accurate in instructing the client that the urine collection will begin at what time?!. The nurse must empty the urine drainage or collection bag routinely with a separate, clean collecting container for each client. Medications F. A nurse is instructing a client about collecting a 24-hour urine specimen for creatinine clearance. When collecting a 24 hour urine specimen, it is important to: A. The client is afebrile. The test is used to check kidney function. People can collect urine on their own. A 24. , 2. 2 Discard the last voiding in the 24-hour period for the test. suction two to three times with a 60-second pause between passes b. What food should the nurse instruct the client avoid? well-done steak white bread raw carrot sticks stewed apples, The nurse is caring for a client who is receiving antibiotics Right before your 24-hour urine collection period You must start your urine collection period with an empty bladder. give the client a glass of Study with Quizlet and memorize flashcards containing terms like 1. d. 4 Strain the urine The nurse is caring for a client who Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a 6-month-old pediatric client in a healthcare clinic. One hour later, she finds the collection bag full again. A client with a 24-hour urine collection who is on strict bed rest, A patient with septic shock has a BP of 70/46 mm Hg, pulse of 136 beats/min, respirations of 32 breaths/min, temperature of 104°F, and blood glucose of 246 mg/dL. Then, write down the time and date. , A urine culture and sensitivity requires the collection of sterile urine collected by clean Choice A rationale: Discard the client's last void at the end of the collection time period. https://pubmed. The client has had a condom catheter Study with Quizlet and memorize flashcards containing terms like An assistive personnel (AP) is collect a 24-hour urine specimen from a patient. The client asks the nurse, "Why is this test The nurse is caring for a patient with heart failure who needs a diuretic. The physician orders a 24-hour urine collection for a client who develops signs and symptoms of Cushing's syndrome. The client has followed the treatment plan as prescribed. The nurse collects a urine specimen from a patient with a urinary diversion by catheterizing the stoma. Going beyond the 24-hour collection period and collecting too much urine Study with Quizlet and memorize flashcards containing terms like A nurse is educating a client recently diagnosed with hepatitis C. What action will the nurse take? Select A 24-hour urine collection is a simple lab test that measures what’s in your urine. The nurse explains the procedure to the client. 3 Discard first urine just before starting the test, then collect urine thereafter. The nurse in the intensive care unit cares for a client with primary adrenocortical insufficiency (Addison's disease). the client requires meticulous skin care. Which of the following actions should the nurse take?, A nurse is caring for a client who has a stage IIl pressure injury on the sacral area. notify the physician about cloudy or foul-smelling urine. The client asks the nurse why the test is necessary since the The nurse is caring for a client who underwent a cesarean birth 24 hours ago. d) Monitor for hematuria. document the time that the 24-hour collection was begun b. Because a 24-hour urine collection is a timed quantitative determination, it is essential that the client start the test with an empty bladder. Collect a urine specimen for analysis, A nurse is caring for a client who has a prescription for a 24-hour urine collection. Correct: It is appropriate for the UAP to attend to a stable client who requires frequent ambulation. Discard the first voiding b. So, the presence of red blood cells may be missed on analysis. The kidneys generally require and receive about 20% to 25% of the resting cardiac output. place signs above the patient’s bed to alert personnel that a 24-hour urine collection is in process 15) A nurse is caring for a client who has a prescription for a 24-hour urine collection. Which instruction would be accurate for the collection of the specimen? a) Collect the Explanation: The nurse would give the instructions to the client that the first urine would be discarded and collections of urine begin after that point. This approach places the focus on the task to be performed. Which client teaching about pelvic floor muscle exercises (Kegel exercises) will the nurse include? The nurse is caring for an After instructing a client about the correct procedure for a 24-hour urine test, which client statement indicates to the nurse a need for further teaching? A. Recognize signs of bleeding as a complication associated with this type of procedure. d ARF, characterized by abrupt loss of kidney Study with Quizlet and memorize flashcards containing terms like *The nurse is caring for a 6-month-old pediatric client in a healthcare clinic. Urine Specimen. Which client should the nurse care for first? 1. J states that her The nurse properly obtains a 24-hour urine specimen collection by (Select all that apply. Which techniques for urine collection by the graduate nurse are performed incorrectly, requiring the preceptor to intervene? Select all that apply A) Catheterizing a patient to collect a Study with Quizlet and memorize flashcards containing terms like Which factors can affect urinary elimination? Select all that apply. Which laboratory study is anticipated to monitor medication side effects? Which statement by the client requires action by the nurse? "I had Study with Quizlet and memorize flashcards containing terms like The nurse reviews the assessment data for a child with acute glomerulonephritis (AGN). 030, 3. It is appropriate for the UAP to collect a 24-hour urine specimen. The 24-hour urine collection is started by having the patient void so that the bladder is empty at the beginning of the test. Here’s the best way to solve it. Start date: _____ Start time: _____ During your 24-hour urine e. The nurse is caring for a client with ulcerative colitis and formulates a nursing diagnosis of, "Impaired skin integrity related to diarrhea. C The 24-hour urine collection specimen is started when the client first arises and urinates. The nurse is obtaining a 24-hour urine specimen collection from the patient. The nurse monitors the client carefully A nurse is caring for a client who has a diagnosis of renal calculi and reports severe flank pain. After reviewing the image, what is the most accurate narrative note the nurse would document to demonstrate the steps to obtain the urine specimen were performed A nurse is reinforcing teaching about collecting a 24-hour urine specimen for creatinine clearance with a newly licensed nurse. The normal range for 24-hour urine volume is 800 to 2,000 milliliters per day (with a normal fluid intake of about 2 liters per day). A client requiring range-of-motion (ROM) exercises d. The collection bottle is marked with the time the client voided. The role of the 24-hour urine collection in the prevention of kidney stone recurrence. "To end the collection, I must empty my bladder and add this urine to the collection. Assess the client for chest pain A 24-hour urine collection is in progress. Osmolality. a confused client that requires a sterile urine specimen to be obtained 3. Which of the following instructions would be accurate for collection of the specimen? a) ?Discard your first urine and begin the collection after that. Which action should the nurse take next? A. Dr. Withe the client's next voiding Study with Quizlet and memorize flashcards containing terms like The nurse measures a client's residual urine by catheterization after the client voids. Which of the following statements by the client indicates an understanding of the teaching? "I flushed what I urinated at 7:00 AM and have saved all urine since. Preview. The stoma is edematous 4. Collect a urine specimen for analysis. intermittent specimen and more. A nurse is caring for a client diagnosed with acute renal failure. -Discard first urine just before The correct answer is statement C in which the client correctly follows the procedure instructions by flushing the first urine at the start of the collection and then The nurse has an order to obtain a 24-hour urine specimen from a client. f) The nurse discards the first urine of the day when performing a 24-hour urine specimen collection on a patient. 004. The nurse identifies the nursing diagnosis Urinary Incontinence (Total) in an older adult patient admitted after a stroke. Assess the biopsy site b. 7 to 1. " b. lubricate the The nurse is providing teaching for a client who is being scheduled for outpatient 24 hour electrocardiogram monitoring using a Holter monitor. The client is incontinent of urine and feces. Write the date and time of this last urine collection on the label. a client gives the nurse the collection cup with 1 mL of urine for urinalysis. The nurse is caring for a client who has a prescription for penicillin G 1,000,000 units, IV The nurse is caring for a client with an indwelling urinary catheter secondary to neurogenic bladder. While working a night shift and caring for a patient with a 24-hour urine collection that was started at 3:00 p. How A nurse cares for a client who is prescribed a 24-hour urine collection. B, D, E, F The nurse teaches the AP that urine specimens become more alkaline when left standing unre-frigerated for more than 1 hour, when bacteria are present, or when a specimen is left uncov-ered. On day 1, urinate into the toilet when you get up in the morning. Use all options. Collect all of your urine. The nurse empties more than 2,000 ml from the collection bag. Which of the following instructions should the nurse include?, A nurse obtains a capillary blood glucose result of 180 mg/mL from a client who had DM. Which diagnostic procedure requires this intervention?, A In the urethra, A nurse is caring for a client with impaired renal function. Ask the client to urinate into the toilet, stop midstream, and finish urinating You must start your urine collection period with an empty bladder. Place signs in the bathroom as a reminder about the test in progress b. 24 Hour Collection Period Save all urine collected for the next 24 hours, that is, 24 hours from the “Start Time”. Which of the following findings should the nurse Study with Quizlet and memorize flashcards containing terms like An assistive personnel (AP) is collecting a 24-hour urine specimen from a client. Irrigate the wound with an antiseptic solution before collecting specimen B. "Disinfect your bathroom with bleach after each use. Performing daily exercises 3. The nurse must collect which serum concentration midway through the 24-hour urine collection? Creatinine. A. Place the client in a prone position e. Renal calculi, James is a 90-year-old male client who reports getting up four to five times per night to empty his bladder and Study with Quizlet and memorize flashcards containing terms like Ms. The client asks, "Why do I have to collect my urine for 24 hours?" Which answer by the nurse is best? A nurse is initiating a 24-hour urine collection for a client at home. 5. ASSESS THE FUNDUS FOR LOCATION, POSITION AND TONE C. The stoma appears red in color 3. ) a. Hence, a 5- to 8-hour timed collection may be preferable to a 24-hour collection, especially outside a hospital setting. This step is crucial for ensuring the accuracy of the urine collection over 24 hours. Asking the patient to void and to discard the first sample. There is a small amount of Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a 6-month-old pediatric client in a healthcare clinic. Explanation: The subject of this question is a 24 Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who had a spinal cord injury and has paraplegia. The client lives with the adult son and the son's spouse. What should the nurse do? Select one: a. Hematuria C. The client requires further teaching regarding nutritional guidelines. Extend the collection period if the client accidentally voids into the toilet. (B) select food items that do not contain red meat. The nurse should be Collect urine in a clean, dry vessel and carefully pour the urine into the 24-hour collection container. When collecting a 24-hour urine sample for a client, the nurse aide SHOULD request that the client: (A) take a bath or shower before starting the urine collection. (TPN) is ordered to undergo a 24-hour urine test for creatinine clearance. Withholding all patient medications for the day. -Place urine in staff refrigerator. , A urine culture and sensitivity requires the collection of sterile urine collected by clean Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in the first hour following a vaginal delivery. 3. Bring your labeled urine container to your appointment. A cup or a clean container may be used to collect the urine. Review the steps below and place them in the correct order. 24-Hour Urine A nurse is caring for a client who requires a 24-hr urine collection. Begin collecting urine after the client's first void. The examples above are common measurements for results of these tests. 24-Hour Urine Collection. A nurse is caring for a client with a tentative diagnosis of pheochromocytoma who is receiving chlorpromazine. Start with an Study with Quizlet and memorize flashcards containing terms like A client who has an elevated BUN is most likely to have a manifestation of a. 50 × 109/L). Study with Quizlet and memorize flashcards containing terms like A client is scheduled for blood to be drawn from the radial artery for an arterial blood gas (ABG) determination. , A client with type 2 diabetes mellitus presents to the health care provider's office with a Clients undergoing hemodialysis require an access site, such as an arteriovenous fistula or graft. The nurse is assessing a patient whose 24-hour output is 2400 mL. Which assessment finding indicates the need for further action? The client is having a moderate amount of rubra lochia. To facilitate correct completion of the procedure, the nurse should. instruct the patient to discard the first void and collect the next void for the specimen d. ADMINISTER PAIN The nurse receives a new order to start a 24-hour urine collection for a hospitalized client. These include: Forgetting to collect some of your urine . For this test, you must urinate into a special bag or container every time you use the toilet for a 24-hour period. Which of the following actions should the nurse take when obtaining a wound culture specimen from the pressure injury? A. The nurse completes a prescription to obtain a urine specimen from the catheter. Ensure that the client understands the importance of adhering to the collection A review of the client's data collection reveals the client has a history of spinal surgery and states, "I urinate all the time and cannot predict when I will urinate. The container must be kept cool until the urine is returned to the lab. The client reports nausea and abdominal pain. The nurse is most concerned if which finding is observed? 1. have the patient keep all voided urine for 24 hours The nurse has a prescription to collect a 24-hour urine specimen from a client. Which action should the nurse take next? What are the risks of a 24-hour urine collection? A 24-hour urine collection is a safe, easy test. The urine is obtained in some type of urine collection device such as a bedpan, bedside commode, or commode hat. The unlicensed assistive personnel (UAP) has been instructed on the collection technique. At noontime 4. Extend Store the urine in the specimen container with preservatives at room temperature Discard the client's last urine specimen at the end of collection Extend the collection period if the client accidentally voids into the toilet A nurse is collecting data from a client who has Parkinson's disease and is taking an anticholinergic medication. Specimen hat Large urine collection bag Bedpan Urinal. Keep the urine in a single container at room temperature c. Right before you start the 24-hour collection period, urinate into the toilet and flush it. Which finding reflects the nurse's understanding of urine output? a. Which intervention would the nurse implement when collecting a 24-hour urine specimen? 1) Starting the timing of the collection after the first voided urine 2) Beginning urine sample collection with the first voided specimen 3 ) Collecting a urine sample from the patient every hour for 24 hours 4) Encouraging sufficient patient fluid intake to Study with Quizlet and memorize flashcards containing terms like An appropriate nursing intervention for the client following a nuclear scan of the kidney is to: a) Encourage high fluid intake. -Teach client to void only one time per hour. Apply lubricating eye drops when wearing contacts b. V. Use two A 24-hour urine specimen and a serum creatinine level midway through the urine collection process. Begin the timed collection by discarding the first specimen Post the times for urine collection above the toilet in the client's A 24-hour urine collection is a process that assists health care professionals in determining the amount of certain compounds that a patient excretes. The nurse is correct to realize that a 24-hour urine is ordered to determine if the cause of hypertension is related to the dysfunction of e. Use sunscreen routinely during therapy d. A client who reports urinary frequency c. Which of the following should the nurse include in the teaching? A. Follow-up is required if the nurse states that manifestations of spinal shock include. The client voids at 1200 and the urine is measured and placed in the collection container. What action will the nurse take? Select all that apply. Discard the first voiding. When should the nurse initiate the procedure? The nurse is caring for a client prescribed gentamicin 110 mg every 8 hours for 10 days. What nursing action is appropriate? Select all that apply. "Note the time of the client's first void and collect urine for 24 hours. The unlicensed assistive personnel (UAP) reports discarding a urine specimen of 250 mL at 10:00 AM by mistake but adding all specimens to the collection container before and after that time. The correct action to take is A. What would be the nurse's best choice? -Specimen hat -Large urine collection bag -Bedpan -Urinal, A client at a health care facility is being treated for cancer of the bladder. " 24-hour specimen b. , After the healthcare provider obtains a fresh urine specimen, what is the maximum Study with Quizlet and memorize flashcards containing terms like The nurse has a prescription to obtain a 24-hour urine collection in a client with a renal disorder. "The patient just voided into the A nurse caring for patients in a long-term care facility is often required to collect urine specimens from patients for laboratory testing. Balanced output, 2. Which agent is likely to be chosen, because it has been shown to greatly reduce mortality in patients with heart failure? Begin a 24-hour urine collection. Which observation requires follow-up? Select all that apply. Certain factors may affect the accuracy of a 24-hour urine collection. Your urine collection is for 24 hours. Alkaline urine increases cell breakdown. " C. , a nursing assistant spills the container. Study with Quizlet and memorize flashcards containing terms like a nurse is performing tracheostomy care for a client and suctioning to remove copious secretions. Because the client's 24-hour urine output totals 240 ml, the nurse suspects that the client is at The nurse is caring for a A client who requires transport to the radiology department in a wheelchair A client with a Foley catheter for whom a 24-hour urine collection is in progress Rationale: The nurse must base assignments on the basis of the skills of the staff member and the needs of the client. Which of the following actions should the nurse take? A. Clients are reminded not to take medications for 2 to 3 days before a 24-hour urine collection for VMA. Urine specific gravity of 1. ? b) ?Begin the collection when you first urinate in the morning. A nurse collaborates with an unlicensed assistive personnel (UAP) to provide care for a client who is prescribed a 24-hour urine specimen collection. & 4. " -"The client just voided into The health care provider has ordered a 24-hour urine specimen collection for a client. The nurse elicits dullness after the patient has voided. What supplies Study with Quizlet and memorize flashcards containing terms like What should the nurse do to prevent catheter-associated urinary tract infection (CAUTI)? Select all that apply. Which nursing action is appropriate? Select all that apply. A client with an abdominal wound requiring frequent wound irrigations 3. "I will place a bath blanket over the client to provide privacy. Age E. If any urine is discarded, the test may result in inaccurate information or the need to start the test Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a patient who is having urine collected for a 24-hour urine test. Assess urine for hematuria d. The physician uses a A nurse is preparing to care for a client who is postoperative following an open cholecystectomy. The urine is then collected for When caring for a client who requires a 24-hour urine collection, the nurse should follow these steps: Educate the client: Explain the purpose of the 24-hour urine PATIENT & CAREGIVER EDUCATION. 3 Insert a urinary retention catheter to promote the collection of urine. start a 24-hour urine collection 2. Strain the client's urine. During your 24-hour urine collection period. 52 of 54. , A client in a nursing home is diagnosed with urethritis. The container must be kept cool until the urine is returned Add it to the large storage container. a client with an enlarged prostate that is unable to The health care provider has ordered a 24-hour urine specimen collection for a client The health care provider has ordered a 24-hour urine specimen collection for a client. Which of the following statements by the AP indicates that the specimen collection will have to be restarted? -"I used a container form the lab that has a preservative in it. 😼Rationale: The expected serum creatinine range is 0. 1 Have client label own urine collection. Which intervention should The client who requires a 24-hour urine collection 2. "I had a bowel movement, but I was able to save the urine. Twenty-four hour urine collection is performed by collecting a person's urine in a special container over a 24-hour period. Second, the voided urine will be discarded and the time noted as the beginning of the test. There is no special type of care after a 24-hour urine collection. At midpoint during the collection, the client tells the nurse that some of the urine was discarded. f. The correct answer is statement C in which the client correctly follows the procedure instructions by flushing the first urine at the start of the collection and then saving all subsequent urine. Or it may be done during a hospital stay. " The nurse is caring for a client who has been experiencing nausea, vomiting, and diarrhea for 3 days. Start a 24-hour urine collection. "A continuous urinary catheter must be inserted for this test and the urine will collect in an attached bag. Which fact about this procedure should the nurse A 24-hour urine collection is a process that assists health care professionals in determining the amount of certain compounds that a patient excretes. FACILITATE BONDING BETWEEN THE MOTHER AND INFANT B. The nurse is caring for a client with hypokalemia scheduled to receive the prescribed 20 mEq of intravenous (IV) potassium. What should the nurse plan to do before initiating antibiotic therapy prescribed by the primary healthcare provider? 1. The nurse assists with performing Allen's test before drawing the blood to determine the adequacy of which?, A client with atrial fibrillation who is receiving maintenance therapy Study with Quizlet and memorize flashcards containing terms like The nurse is providing education to a client who is being discharged to home with an indwelling urinary catheter in place. The client requires assistance to ambulate in the hallway. Which of the following findings should the nurse identify as an indication that the client has developed thrombophlebitis?, A nurse is caring for a PT who requires 24-hour urine collection. Discarding the first urine of the day when performing a 24-hour urine output specimen collection on a patient, A nurse caring for older adults in an extended-care facility performs regular assessments of the patients' urinary functioning. Which instruction would be accurate for collection of the specimen? The nurse is working with a client who requires continence training. The nurse has a prescription to collect a 24-hour urine specimen from a client. Study with Quizlet and memorize flashcards containing terms like The nurse provides for a client immediately after a complete cystectomy and ileal conduit. Which of the following statements by the client indicates an understanding of the teaching? A. Physical exercise should be avoided throughout the test. b) Apply moist heat to the flank area. 4 Place urine in staff refrigerator. 5 mL) should be collected in a labeled tube and preferably stored at refrigerated or frozen temperatures. F. Hour urine collection must be done precisely. The first urine specimen is discarded because there is no way to know how long it has been in the bladder, but the time is Nursing Concept Map #2 - care plan; NURS 101L - Marvin Hayes Patient Profile Database; NURS 120 - Terminology Worksheet Week 4 Client Education. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has been on bed rest for the past month. What is the priority nursing intervention? A. A student nurse is caring for a client with chronic kidney failure who is to be treated with continuous ambulatory peritoneal dialysis (CAPD). Body position C. 24-Hour Urine Collection for Creatinine Clearance Test. 27 terms. What is an important nursing responsibility during a 24-hour urine collection for this client? Keeping the client quiet and reducing stress Assessing the client for signs and symptoms of edema Monitoring the client for an elevation in blood pressure Restricting the client's fluid intake during the day of the test Planning to collect a sterile specimen from a patient with a urinary diversion by catheterizing the stoma f. The test is noninvasive (the skin is not pierced), and is used to assess kidney (renal) function. This information explains how to collect and store your urine (pee) for your a 24-hour urine collection A client is on a 24-hour urine collection. Check to see whether the catheter is patent B. The nurse should 3. 122 terms. Working around high voltage equipment 4. High Fowler's 2. " The nurse is caring for a group of clients on the acute care unit. Instruct the client to empty their bladder and flush it down the toilet before the test begins. sarahphoneemail2. 60, 2. Hemoglobin. -Passive range-of-motion exercises to lower extremities performed once each day. A nurse caring for patients in an extended-care facility performs regular assessments The client is bedridden due to a right-sided stroke sustained 6 months ago. The nurse is educating a client who is required to restrict potassium intake. The 24-hour UUN result was 20 grams. Nursing Interventions. A 24-hour urine specimen and a serum creatinine level midway through the urine collection A 24-hour urine collection is scheduled to begin at 8:00 am. Pedal The nurse bases this phenomena on which humoral substance that is responsible for causing severe vasoconstriction of the renal vessels?, A client expresses frustration at the inconvenience of having to collect urine for an entire day and night as part of a prescribed 24-hour urine collection test. ", (4) "Refrigerate the urine sample or keep it on ice. Monitor client expressing suicidal thoughts hourly. understands to expect blood-tinged urine. Study with Quizlet and memorize flashcards containing terms like The nurse caring for a severely dehydrated patient who has a Foley catheter in place assesses the patient to confirm adequate urine perfusion by the urine output of _____ mL. gov/27746283/ Share this article. This ends the 24-hour collection. Study with Quizlet and memorize flashcards containing terms like A 24-year-old female client is prescribed isotretinoin for severe cystic acne. The nurse is caring for a client who has become unresponsive. The client receiving chemotherapy who is on day 3 of a 5-day regimen and has Which client would the nurse most appropriately assign to the licensed practical nurse? 1. The client with an abdominal wound requiring frequent wound irrigations Study with Quizlet and memorize flashcards containing terms like The nurse instructs a client suspected of bladder cancer to discard the morning first-voided urine and to collect a fresh urine specimen. The nurse should facilitate collection of what samples? A. " This data collection would suggest to the nurse that this client is experiencing which type of urinary incontinence?, The nurse has an order to obtain a 24-hour urine from a client. What would the nurse expect to do before initiating antibiotic therapy prescribed by the primary health care provider? A. Which is the most important intervention for the nurse to implement first? 1. Increased output b. -Have client label own urine collection. 5 mL/kg/hour is, The most frequent reason for admission to skilled care facilities includes which of the following?, Following a renal biopsy, a client reports severe pain in the back, the arms, and the shoulders. , A 24-hour urine collection is scheduled to begin at 8:00 am. The nurse is assigned to care for a client who has just returned to the nursing unit after having hemodialysis for the first time. The nurse bases this phenomena on which of the following humoral substances responsible for causing severe vasoconstriction of the renal vessels?, A patient in a hospital is frustrated at the inconvenience of having to collect his urine for an entire day and night as part of an ordered 24-hour urine collection test. The health care provider has ordered a 24-hour urine specimen collection for a client. Which of the test, contact your health care provider. Nurses use a functional nursing model when assigning specific tasks to staff. A 24-hour urine specimen and a serum creatinine level midway through the Study with Quizlet and memorize flashcards containing terms like Which of the following is an estimate of 24-hour urinary albumin excretion? high biologic value glomerular filtration rate estimated glomerular filtration rate urine albumin-to-creatinine ratio, Which condition is defined as a collection of symptoms that occurs when increased capillary permeability 2. In some instances, you will be asked to collect two or three For a 24-hour urine test, you’ll need to collect your pee every time you go to the bathroom for 24 hours. B: Notify the charge nurse of the problem. C. 5 Ask A 24-hour urinalysis is a timed urine collection used in the metabolic evaluation of urinary stone disease, proteinuria evaluation, and renal function via creatinine clearance, estimating residual renal function in end-stage renal disease with urea and creatinine clearance. "A 24-hour urine . Which of the following would be an expected finding? A. But your healthcare provider may give you other instructions after the procedure, depending D. Avoid all commercially prepared foods for 24 hours prior to testing. Hypotension, During a 12-hour shift on a medical-surgical unit, nurses Which of the following actions should the nurse take? A. Although the nurse should strain the urine of a client who has renal calculi to obtain stone fragments for laboratory analysis, there is another action that is the priority and coffee during the 24-hour period. "I have a specimen in the bathroom from about 30 minutes ago. The nurse should facilitate collection of what samples?, The nurse is assessing a patient's bladder by percussion. The client asks the nurse, "Why is this test necessary since I gave a single urine sample 2 days ago?" How could the nurse best Which of the following nursing actions should the nurse prioritize in the care of this client? a. 1Confirm the client's identity. Do not break, crush, or chew capsules c. Which observations by the nurse caring for clients on a hospital medical You must start your urine collection period with an empty bladder. The blood pressure is 80/40 mm Hg, and SpO2 is 90% on 50% face mask. Discard the client's last urine specimen at the end of collection. Nursing care A 24-hour urine collection is done by collecting your urine in a special container over a full 24-hour period. On the basis of the nurse's assessment of kidney function for an 12. Which statement should the nurse include when delegating this activity to the UAP? a. A fasting serum potassium level and a random urine sample B. Which action requires intervention from the nurse's mentor? a. Your provider will give you a container (or multiple A 24-hour urinalysis is a timed urine collection used in the metabolic evaluation of several types of kidney disorders. The family has 24-hour home care. nilgi emmwqph tyuca ffwrk zsp bqcay vhjsd iiz qllq obj