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A nurse is reinforcing teaching with a client who has preeclampsia and is prescribed a 24 hr urine collection for protein

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The 24-hour urine collection test for a patient with preeclampsia measures the presence and amount of protein in the urine to assess the severity of the condition. Glomerular damage, often present in preeclampsia, allows proteins to 'leak' into the urine, a condition known as proteinuria. The result helps in guiding treatment for the condition.

Step-by-step explanation:

Understanding Proteinuria in Preeclampsia

Preeclampsia is a condition in pregnancy characterized by high blood pressure and often a significant amount of protein in the urine. The 24-hour urine collection is a test frequently prescribed for patients with preeclampsia to measure the total daily urinary volume and protein content. Normally, proteins such as albumin are retained in the blood during the filtration process by the kidney's glomeruli. However, if there is glomerular damage, which can occur in preeclampsia, proteins may leak into the urine, a condition known as proteinuria.

During a 24-hour urine collection, the patient must collect all urine produced in a 24-hour period. This collection is then analyzed for various substances, including protein, which can help assess the severity of the condition and guide treatment. It is essential to accurately measure and quickly refrigerate the urine samples to prevent bacterial growth and ensure the validity of the test results. The presence of significant amounts of protein in the urine, typically more than 300 mg in a 24-hour period, supports the diagnosis of preeclampsia.

Other physiological conditions like vigorous exercises and orthostatic proteinuria can also result in the presence of protein in urine but are considered normal and not associated with disease. Thus, a thorough clinical evaluation and consideration of the patient's symptoms and history are critical in interpreting the results of the urine analysis for protein.

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