The nurse is obtaining a 24-hour urine specimen collection from ...

[SO00]

The nurse is obtaining a 24-hour urine specimen collection from the patient. Which actions should the nurse take? (Select all that apply.)
 
  a. Keeping the urine collection container on ice when indicated
  b. Withholding all patient medications for the day
  c. Irrigating the sample as needed with sterile solution
  d. Testing the urine sample with a reagent strip by dipping it in the urine
  e. Asking the patient to void and discarding that urine to start the collection

Question 2

Which observation by the nurse best indicates that a continuous bladder irrigation for a patient following genitourinary surgery is effective?
 
  a. Output that is smaller than the amount instilled
  b. Blood clots or sediment in the drainage bag
  c. Bright red urine turns pink in the tubing
  d. Bladder distention with tenderness

[lgoldst9]

Answer to Question 1

ANS: A, E
When obtaining a 24-hour urine specimen, it is important to keep the urine in cool conditions, depending upon the test. The patient should be asked to void and to discard the urine before the procedure begins. Medications do not need to be held unless indicated by the provider. If properly educated about the collection procedure, the patient can maintain autonomy and perform the procedure alone, taking care to maintain the integrity of the solution. A 24-hour urine specimen is not tested with a reagent strip.

Answer to Question 2

ANS: C
If urine is bright red or has clots, increase irrigation rate until drainage appears pink, indicating successful irrigation. Expect more output than fluid instilled because of urine production. If output is smaller than the amount instilled, suspect that the tube may be clogged. The presence of blood clots indicates the patient is still bleeding, while sediment could mean an infection or bleeding. The bladder should not be distended or tender; the irrigant may not be flowing freely if these occur, or the tube may be kinked or blocked.

[SO00]

Excellent

[Dinolord]

TYSM