Question

The healthcare provider orders labs including a 24-hour urine for protein and creatinine. SELECT THE FIRST TWO NURSING ACTIONS IN THE ORDER THAT THEY SHOULD BE IMPLEMENTED:

a. Post signs and in the EHR/plan of care regarding the 24-hour urine collection.Important to notify everyone involved in client's care about 24-hour urine so ALL urine is collected.
b. Ask the client to void and discard the urine.The specimen collection begins with an empty bladder, so the first void is discarded. The time is noted as the start of the 24 hours
c. Place the urine in a special container or on ice.A special container is obtained from the lab, it either has preservatives or the specimen needs to be kept on ice.
d. Collect all urine in the next 24 hours.Total volume of urine is part of the calculation of the results so every drop of urine must be saved. If there is a spill or flush of urine, the 24-hour period starts over, and results are delayed.
e. Ask the client to void and save the urine.At the 24-hour mark, the client is asked to void to empty her bladder (even if she doesn't feel the urge to void). The collection ends with an empty bladder.
f. Label and send the urine specimen to the lab.All lab specimens must be correctly labeled and sent immediately to the lab for results as soon as possible.

Answer 1

The first two nursing actions for a 24-hour urine collection are asking the client to void and discard the urine to start with an empty bladder, and posting signs to inform all caregivers of the collection process.

Step-by-step explanation:

When a healthcare provider orders a 24-hour urine collection for protein and creatinine, the first two nursing actions to implement are:

1. Ask the client to void and discard the urine. The specimen collection begins with an empty bladder, so the first void is discarded. The time is noted as the start of the 24 hours.
2. Post signs and in the EHR/plan of care regarding the 24-hour urine collection. It is important to notify everyone involved in the client's care about the 24-hour urine collection to ensure that all urine is collected.

This procedure is done to measure various substances in the urine such as protein, creatinine, and sometimes other components like magnesium, sodium, and calcium. Accurate collection is imperative for reliable results.