Urine Analysis and Urinalysis

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23 Questions

Nocturia is characterized by an increase in the day excretion of urine.

False

Anuria is characterized by a urine output of less than 400 mL/day in adults.

False

Oliguria is characterized by a urine output of less than 2.5 L/day in adults.

False

Urinalysis is not a valuable tool to diagnose liver disease.

False

Urinalysis is only performed on patients with diabetes mellitus.

False

Polyuria is characterized by a urine volume of less than 2.5 L/day in adults.

False

Sterile cotton balls are not necessary for collecting a clean-catch mid-stream urine specimen.

False

The patient should use antiseptic solution to cleanse the genitals immediately preceding the collection of the specimen.

False

The laboratory requisition form should be completed by the patient.

False

Waking a patient in the morning to obtain a routine specimen is not necessary.

False

The healthcare worker should not label the bottle or container with the date, client's name, and department identification.

False

The healthcare worker does not need to check the specimen form with the client's name, date, and content of urinalysis.

False

The healthcare professional should label the specimen bottle with the client's name and doctor's name only.

False

A second-voided urine specimen is used for routine urinalysis and culture and sensitivity test.

False

It is optional to perform hand hygiene and put on gloves before collecting the urine specimen.

False

The urine specimen should be sent to the laboratory after documenting the procedure in the designated place.

False

A 24-hour urine specimen is collected by collecting only the middle portion of the voided urine.

False

Used equipment should be cleaned and disinfected after collecting the urine specimen.

True

Catheterized urine specimen is used to detect kidney and cardiac diseases or conditions.

True

The client should be instructed to void in a contaminated receptacle to reduce the risk of infection.

False

Normal urine is typically dark yellow and cloudy.

False

The container used for collecting 24-hour urine specimen must be kept at room temperature.

False

A clean-catch mid-stream urine specimen is collected by first emptying the bladder and then waiting until another specimen can be collected.

False

Study Notes

Urine Analysis

  • Urine analysis is a valuable tool for screening patients and diagnosing health issues, providing information on hydration, renal and urinary tract health, liver disease, diabetes mellitus, and urinary-tract infections.

Preparing for Urine Collection

  • Preparation for equipment: sterile cotton balls, sterile gloves, antiseptic solution, sterile specimen container, sterile water or saline, completed identification specimen label, and completed laboratory requisition form.
  • Preparation for the patient: wake the patient in the morning, instruct the patient to use soap and water for cleansing the genitals before collecting the specimen.
  • Preparation for oneself: perform hand hygiene, wear gloves, check the specimen form with client's name, date, and content of urinalysis, and label the bottle or container with the date, client's name, department identification, and doctor's name.

Procedure for Collecting Clean-Catch Mid-Stream Urine Specimen

  • Explain the procedure to gain the patient's cooperation.
  • Gather all equipment and check the specimen form with client's name, date, and content of urinalysis.
  • Label the bottle or container with the date, client's name, department identification, and doctor's name.
  • Perform hand hygiene and put on gloves.
  • Instruct the client to void in a clean receptacle to limit cross-contamination and decrease the occurrence of infection.
  • Remove the specimen immediately after the client has voided.
  • Dispose of used equipment or clean them to prevent transmission of infection.
  • Remove gloves and perform hand hygiene.
  • Send the specimen bottle or container to the laboratory immediately with the specimen form.

Types of Urine Analysis

  • Clean-Catch mid-stream urine specimen: used for routine urinalysis, culture, and sensitivity test.
  • Catheterized urine specimen.
  • Second-voided urine specimen: more accurate for glucose testing.
  • 24-hour urine specimen: used to detect kidney and cardiac diseases, measure total urine components, protein, hormones, creatinine, minerals, and other chemical compounds.

Terminology

  • Oliguria: urine output less than 400 mL/day in adults.
  • Anuria: cessation of urine flow or less than 100 ml/day in adults.
  • Nocturia: an increase in night excretion of urine.
  • Polyuria: urine volume greater than 2.5 L/day in adults.

Normal Urine

  • Normal urine is typically pale yellow and clear.
  • Obvious abnormalities in color, clarity, and cloudiness may suggest different diseases.

Learn about urine testing, a valuable tool for screening and diagnosing health status. Urinalysis provides information on hydration, renal and urinary tracts, liver disease, diabetes, and urinary tract infections.

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