A 24-hour urine for vanillylmandelic acid (VMA) has been ordered on a child suspected of having neuroblastoma. The nurse begins the collection:
1. At 0700.
2. After the next time the child voids.
3. At bedtime.
4. When the order is noted.
2
Rationale:
1. It would not be an accurate collection of 24 hours of urine if the collection began at 0700.
2. A 24-hour urine collection is started after the child voids. That specimen is not saved, but all subsequent specimens in that 24-hour period should be collected.
3. It would not be an accurate collection of 24 hours of urine if the collection were at bedtime.
4. It would not be an accurate collection of 24 hours of urine if the collection began when the order was noted.
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