NCLEX-RN

Category - Reduction of Risk

A nurse carries out the physician’s order for a 24-hour urine collection. After explaining the procedure to the client, which of the following actions of the client indicates they understood the instructions?
  1. Collects the first voided urine after perineal care.
  2. Discards the first voided urine.
  3. Submits the first voided urine for urinalysis.
  4. Collects the first voided urine in a separate container for submission later.
Explanation
Answer: B - The first voided urine should be discarded when collecting a 24-hour urine specimen. A 24-hour urine test is done to determine the total volume of urine the client’s body can produce in 24 hours. The urine is also tested for certain substances such as protein, urea nitrogen, and aldosterone. The other remaining options are incorrect steps that would result in inaccurate results.
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