In collecting a 24-hour urine specimen to determine nitrogen balance for a client, the nurse would
a. conduct the urine collection before a 24-hour food record.
b. correct the results by multiplying by 0.13 for clients with renal disease.
c. instruct the client on foods to eat containing specified amounts of protein.
d. start the urine collection at the same time a 24-hour food record starts.
D
To determine nitrogen balance, the nurse will simultaneously record the amount and type of food consumed in a 24-hour period and obtain and 24- hour urine collection for urine urea nitrogen measurement. The start and stop times for the food record and urine collection must be the same. The amount of protein the client eats is not restricted or predetermined. The results are not cor-rected for clients with renal disease, and analyzing results is not related to the collection proce-dure.
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