What is the first step a nurse aide should take before collecting a urine sample from a client?

The first step a nurse aide should take before collecting a urine sample from a client is to have the client empty their bladder. This practice helps to ensure that the sample obtained is as accurate and uncontaminated as possible. By asking the client to empty their bladder, the nurse aide can collect a "clean catch" sample. This technique minimizes the risks of contamination that may occur if urine is collected directly after a prior voiding.

The process of allowing the client to empty their bladder before collection also aids in the collection of a fresh sample, which can provide more reliable information regarding the client's health status. Once the bladder is emptied, the client can be instructed to provide a sample again, which helps in obtaining a more accurate representation of their current urinary state.

Ensuring the sample bottle is sterile is an important consideration, but it occurs after confirming that the bladder is empty. Instructing the client to drink more fluids may be necessary in some contexts but is not always relevant, especially if the goal is to collect an accurate sample at that moment. Checking for any restrictions is also important for safety and proper procedure, but the immediate priority should focus on the bladder status prior to the sample collection.