The nurse must collect a 24-hour urine specimen for cortisol. The patient is incontinent. How can the nurse collect the specimen?
a. Place an incontinence brief on the patient, and record the weight of each brief.
b. Place an incontinence brief on the patient, and send all briefs to the laboratory.
c. Keep the patient on a bedpan at all times during the test.
d. Obtain an order for an indwelling catheter for the duration of the test.
ANS: D
If the patient is incontinent or otherwise unable to participate in the test, a catheter may need to be inserted. If the patient already has an indwelling catheter, a new bag and tubing should be attached before the start of the test. The urine must be examined in the laboratory, so wet briefs will not be useful. Keeping the patient on a bedpan can cause pressure ulcers.
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