Canadian Society for Medical Laboratory Science (CSMLS) Practice Exam

Which applies to the 24 hr urine collection?

1. Emptying bladder immediately before starting collection

2. Discarding the last specimen of the day

3. Never adding a preservative to the container

4. Sterilizing the specimen after collection

The correct answer is: Emptying bladder immediately before starting collection

The correct choice states that emptying the bladder immediately before starting a 24-hour urine collection is an important step in the process. This initial act ensures that the collection only includes urine produced after the start of the collection period. By discarding the urine that is present in the bladder before commencing the 24-hour collection, you avoid including any urine that may have been produced before the collection began, which could lead to inaccurate results. This practice is essential for obtaining a precise measurement of urinary output and its constituents over the specified duration. Other options don't embody proper practices for a 24-hour urine collection. For instance, discarding the last specimen of the day would potentially omit important urinary output data that should be included in the final analysis. Similarly, while preservatives may be used in some urine tests, their application depends on specific protocols and is not universally applied across all 24-hour collections. Lastly, sterilizing the specimen after collection isn't a standard practice, as the focus is primarily on accurate measurement during the collection process rather than on sterilization of the collected urine.