The nurse is caring for a patient who is to collect a 24-hour urine specimen. Which statement by the patient indicates that additional teaching is required?
a. "I will keep the urine container on ice to keep it chilled until I bring it to the lab."
b. "I will start the test over if I forget and urinate into the toilet during the testing time."
c. "I will start the test tomorrow after I urinate first thing in the morning."
d. "I will drink extra fluids so that the lab will have an extra large specimen to test."
ANS: D
Drinking extra fluids so that the lab will have an extra large specimen to test is not done as part of 24-hour urine collection, and it may skew the test results. The specimen should be kept chilled on ice or in a refrigerator until it is brought to the lab. If the patient accidentally urinates in the toilet, the test must be started over again. Urine collection is started after the patient's first void of the morning into the toilet.
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