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    ATI Nurs 100 Nursing Fundamentals proctored Exam

    A nurse is preparing to obtain a 24-hour urine collection from a client. Which of the following actions should the nurse take?

    Explanation & Rationale

    Choice A reason: Discarding the first void at the start of a 24-hour urine collection ensures the collection begins with urine produced within the exact 24-hour period. This standardizes the sample, capturing all urine produced thereafter, allowing accurate measurement of renal function, hormone levels, or other analytes over a full day. Choice B reason: Discarding the last void at the end of the 24-hour period is incorrect, as all urine produced within the 24 hours, including the final void, must be collected. Excluding the last void would result in an incomplete sample, skewing results for tests like creatinine clearance or protein excretion. Choice C reason: Pouring urine into a clean container is incorrect, as 24-hour urine collections require a specialized container with preservatives to maintain sample integrity. Using a clean but non-designated container risks contamination or degradation of analytes, compromising the accuracy of tests like electrolyte or hormone measurements. Choice D reason: Instructing the client not to void at the end of the collection period is incorrect, as all urine within the 24-hour timeframe, including the final void, must be collected. Missing the last void reduces the total volume, leading to inaccurate results for diagnostic tests evaluating renal or metabolic function.

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