Urine volume; 24-hour urine collection; Urine protein - 24 hour The urine 24-hour volume test measures the amount of urine produced in a day. The amounts of creatinine, protein, and other chemicals released into the urine during this period are usually tested as well. A clean-catch urine sample is performed by collecting the sample of urine in midstream. Men or boys should wipe clean the head of the penis. Women or girls need to wash the area between the lips of the vagina with soapy water and rinse well. A small amount of urine should initially fall into the toilet bowl before it is collected (this clears the
urethra of contaminants). Then, in a clean container, catch about 1 to 2 ounces of urine and remove the container from the urine stream. The container is then given to the health care provider. The female and male urinary tracts are relatively the same except for the length of the urethra. The male and female urinary tracts are relatively the same except for the length of the urethra. How the Test is PerformedFor this test, you must urinate into a special bag or container every time you use the toilet for a 24-hour period.
For an infant: Thoroughly wash the area around the urethra (the hole where urine flows out). Open a urine collection bag (a plastic bag with an adhesive paper on one end).
Check the infant often, and change the bag after the infant has urinated. Empty the urine from the bag into the container provided by your health care provider. An active infant can cause the bag to move. It may take more than one try to collect the sample. When finished, label the container and return it as instructed. How to Prepare for the TestCertain drugs can also affect the test results. Your provider may tell you to stop taking certain medicines before the test. Never stop taking medicine without first talking to your provider. The following may also affect test results:
How the Test will FeelThe test involves only normal urination and there is no discomfort. Why the Test is PerformedYou may have this test if there are signs of damage to your kidney function on blood, urine, or imaging tests. Urine volume is normally measured as part of a test that measures the amount of a substances passed in your urine in a day, such as:
This test may also be done if you have polyuria (abnormally large volumes of urine), such as is seen in people with diabetes insipidus. Normal ResultsThe normal range for 24-hour urine volume is 800 to 2,000 milliliters per day (with a normal fluid intake of about 2 liters per day). The examples above are common measurements for results of these tests. Normal value ranges may vary slightly among different laboratories. Some labs use different measurements or test different samples. Talk to your provider about the meaning of your specific test results. What Abnormal Results MeanDisorders that cause reduced urine volume include dehydration, not enough fluid intake, or some types of chronic kidney disease. Some of the conditions that cause increased urine volume include:
ReferencesLandry DW, Bazari H. Approach to the patient with renal disease. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 106. Verbalis JG. Disorders of water balance. In: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner and Rector's The Kidney. 11th ed. Philadelphia, PA: Elsevier; 2020:chap 15. Version InfoLast reviewed on: 7/19/2021 Reviewed by: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.  When collecting a 24 hour urine sample for a client the CNA should request that the client?When collecting a 24-hour urine sample for a client, the nurse aide should request that the client: discard the first voided urine. When caring for a client who has a hearing loss, the nurse aide shoUlD: face the client when speaking to the client.
Which of the following is the best personal protective equipment item for nurse aide to wear when handling infectious waste that could splash or spray?Fluid resistant gowns should be used when splashes or sprays of blood/body fluids are expected. For contact precautions, gowns are worn during all patient contact and when in the patient's environment. Gowns are always worn in combination with gloves, and with other PPE when indicated.
What is the first area of a client body that the nurse aide should wash when providing a bed bath?Make sure not to lather the soap too much or you'll risk getting suds in their eyes or mouth (this is one of the reasons many people use baby shampoo for bed baths). Once you're done washing above the neck, it's time to wash one side of the body at a time. Start with the shoulder, upper body, arm and hand.
When a nurse's aide is trying to understand if a client is confused they can?Nursing. |
When collecting a 24-hour urine sample for a client, the nurse aide should request that the client
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