Author Question: The health care provider ordered a 24-hour urine specimen to test the renal function of a patient ... (Read 42 times)

pane00 · **on:** Jul 22, 2018

The health care provider ordered a 24-hour urine specimen to test the renal function of a patient admitted with acute renal failure. The nurse has prepared all the necessary equipment and has asked the patient if he or she needs to void.

The nurse knows that the 24-hour collection period will begin: a. after the first voided specimen is discarded.
b. with the first morning voided specimen.
c. after the second voided specimen is collected.
d. as soon as the necessary equipment arrives.

Question 2

A male patient has been admitted with a fever and malaise. The health care provider has ordered a clean catch midstream specimen for urinalysis on this patient.

To collect the urine specimen, the nurse should instruct the patient to do which of the following? a. Return to bed to obtain the specimen using a straight catheter insertion.
b. Use sterile gloves to cleanse his penis and collect the specimen in a sterile cup.
c. Ask the patient to void into a cup or urine collection container.
d. Cleanse his penis, begin his stream, and then void into a sterile cup.

kthug · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
In most 24-hour specimen collections, you will need to discard the first voided specimen and then start collecting urine in a special container that already has a preservative added. Depending on the test, the urine container may need to be kept cool by placing it in a container of ice. Patient education must include an explanation of the test, an emphasis on the need to collect all urine voided during the prescribed time period, and how to avoid contaminating the specimen with stool or toilet paper. Careful documentation of the start and stop time of the test, as requested by the laboratory, will improve testing accuracy. A 24-hour specimen can be started at any time after obtaining and discarding the first voided specimen.

Answer to Question 2

D
Male patients should be instructed to retract the foreskin, if not circumcised, and cleanse the meatus in a circular motion moving from the center of the meatus to the outside. After cleansing, have the patient open the sterile urine cup and caution the patient to not touch the inside of the cup. To collect the specimen, instruct the patient to start voiding in the toilet or other receptacle, stop the stream, position the sterile cup to collect urine and then continue voiding into the cup. When finished, the lid should be put on the cup and the specimen processed per laboratory instruction. A simple urinalysis does not require a sterile urine specimen or sample. Obtaining the specimen from a straight catheter would occur if there was an issue with urinary retention or the patient is unable to void.