24-hour Urine Collection: Performing Flashcards
While performing a 24-hour urine collection, a nursing assistant notes that the 24-hour container has a preservative added. The nursing assistant should understand that this means:
a. the specimen has been contaminated
b. the specimen must be refrigerated
c. the specimen will not need to be refrigerated
d. the specimen can remain on the nursing unit for 48 hours before being transported to the laboratory
c. the specimen will not need to be refrigerated
A patient tells the nurse that he needed to urinate while away from home and was not able to collect the urine for 24-hour analysis. How should the nurse handle this situation?
a. Tell the patient not to miss any more samples and to continue with the collection process
b. Tell the patient that he will need to restart the collection process
c. Tell the patient that testing may be inhibited and results less than accurate, but that the current collection will continue
d. Tell the patient that it will not affect the testing
b. Tell the patient that he will need to restart the collection process
A nurse is monitoring a 24-hour urine collection. Midway through the collection period, the nurse notices that the patient’s urine is straw-colored. What should the nurse know about the urine based on the color?
a. The patient is jaundiced
b. The urine is normal in appearance
c. There is no urinary tract infection
d. There is no bleeding in the urinary tract
a. The urine is normal in appearance
The most common mistake in 24-hour urine collection is
a. failing to refrigerate the specimen
b. failing to add or adding an incorrect amount of preservative
c. under-collection of urine
d. contamination of the specimen
c. under-collection of urine
The 24-hour urine specimen container is dark in color, which
a. prevents inactivation of preservatives
b. protects the light-sensitive elements in the urine such as urobilinogen or porphyrins
c. prevents other patients or visitors from knowing that the patient is undergoing urine collection
d. helps to prevent bacterial contamination of the specimen
e. all of the above
b. protect the light-senstive elements in the urine such as urobilinogen or porphyrins
The student nurse is educating an ambulatory patient about collection of a 24-hour urine specimen. She explains that all urine excreted over 24 hours must be included in sample. She shows the patient the specimen container, instructs the patient to urinate directly into it with each void, and reminds the patient to close the lid tightly after use and keep it in the basin of ice water at the bedside. The nurse preceptor intervenes and corrects the student nurse at which point?
a. When she states that all urine over 24 hours must be collected
b. When she instructs the patient to void directly into the specimen container
c. When she tells the patient to close the lid tightly after use
d. When she instructs the patient to keep the container on ice
b. When she instruct the patient to void directly into the specimen container
In a patient with obstructive jaundice, the urine specimen may
a. have a yellow-brown or green-brown tint
b. be cloudy with sediment
c. be rust-colored
d. have a red-brown appearance
a. have a yellow-brown or green-brown tint
The nurse has begun 24-hour urine collection on a patient with a urinary catheter. To facilitate correct completion of the procedure, the nurse should
a. document the time that the 24-hour collection was begun
b. place signs above the patient’s bed to alert personnel that a 24-hour urine collection is in process
c. explain the procedure and its purpose to the patient
d. answer questions and provide emotional support as needed
e. all of the above
e. all of the above
Which of the following patients is most likely to undergo 24-hour urine collection to diagnose, monitor, and treat their medical condition?
a. A 24-year-old male who is being evaluated for hyperthyroidism
b. A 9-year-old female who is being assessed for a fractured wrist
c. A 52-year-old male who is being evaluated for renal disease
d. A 62-year-old female who is being assessed for multiple sclerosis
e. All of the above
c. a 52 year old male who is being evaluated for renal disease
The Clinical and Laboratory Standards Institute (CLSI) recommends the use of chemical preservatives if the urine specimen cannot be processed within two days of collection.
a. True
b. False
b. False
he nurse should label a urine specimen container with which of the following information?
a. Date and time the collection was started and finished
b. Patient’s attitude about urine collection
c. Other laboratory tests ordered
d. Patient’s full name and medical record number
e. Laboratory test result
f. a) and d)
g. b) and e)
f. a) Date and time the collection was started and finished and d) Patient’s full name and medical record number
After completing a 24-hour urine collection, the nurse should
a. arrange for prompt transport of the specimen in ice to the laboratory
b. review the patient’s test results
c. freeze the urine for 24 hours prior to sending it to the laboratory for testing
d. arrange for heating of the urine in a beaker to 110°F (43.4°C)
a. arrange for prompt transport of the specimen in ice to the lab
The nurse who is preparing to perform a 24-hour urine collection for a patient should be aware that because a refrigerator is not available for storing the urine container
a. the urine samples must be sent immediately for testing throughout the 24-hour period
b. a chemical preservative should be added to the specimen container at the end of the 24-hour period
c. the urine samples must be kept in a container filled with warm water
d. the urine specimen container should be placed on ice
d. the urine specimen container should be place on ice
The nurse is providing care for a patient who is undergoing 24-hour urine collection when he/she notices that the urine samples are foul-smelling. The nurse should recognize that this may indicate
a. leukocytosis
b. urinary tract infection (UTI)
c. bleeding in the urinary tract
d. jaundice
b. UTI
Supplies that are needed for collecting a 24-hour urine specimen include all of the following, except
a. specipan, bedpan, or urinal
b. signs to remind the patient that a 24-hour collection is being performed
c. sterile gloves and transparent dressings
d. 24-hour urine collection container
e. nonsterile gloves
c. sterile gloves and transparent dressings
