Author Question: The nurse properly obtains a 24-hour urine specimen collection by (Select all that apply.) a. ... (Read 35 times)

lidoalex · **on:** Jul 23, 2018

The nurse properly obtains a 24-hour urine specimen collection by (Select all that apply.)

a. Asking the patient to void and to discard the first sample.
b. Keeping the urine collection container on ice.
c. Withholding all patient medications for the day.
d. Asking the patient to notify the staff before and after every void.

Question 2

To reduce patient discomfort during closed catheter irrigation, the nurse should

a. Use room temperature irrigation solution.
b. Administer the solution as quickly as possible.
c. Allow the solution to sit in the bladder for at least 1 hour.
d. Raise the bag of irrigation solution at least 12 inches above the bladder.

jgranad15 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A, B
When obtaining a 24-hour urine specimen, it is important to keep the urine in cool condition. 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.

Answer to Question 2

ANS: A
Using cold solutions, instilling solutions too quickly, and prolonging filling of the bladder can cause discomfort and cramping. To reduce this, ensure that the solution is at room temperature, lower the solution bag so it instills slowly, and drain the bladder fully after an ordered amount of time.