Which client statement indicates the need for clarification regarding the instructions for collecting a 24-hour urine specimen for assessment of endocrine function?

a. "I will continue to take all my prescribed medicine during the test."
b. "I will add the preservative to the con-tainer at the beginning of the test."
c. "I will start the collection by saving the first urine of the morning."
d. "At the end of 24 hours, I will urinate and save that last specimen."


C
The 24-hour urine collection specimen is started when the client first arises and urinates. The first urine specimen is discarded because there is no way to know how long it has been in the bladder, but the time is noted. The client adds all urine voided after that first discarded specimen during the next 24 hours. When the 24-hour mark is reached, the client voids one last time and adds this specimen to the collection. The preservative, if used, must be added to the container at the beginning of the collection. Clients can continue to take all their normal medications during a timed urine collection. They should, however, avoid unnecessary medications.

Nursing

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