VN 100 SPECIMEN COLLECTION AND DIAGNOSTIC TESTING 100% CORRECT ANSWERS!!!

1. A 64-year-old patient who has newly diagnosed diabetes mellitus has been learning how to perform her own blood glucose monitoring. The patient has impaired circulation. What action can help to improve the specimen collection process? 1. Use a tourniquet on the finger to be used in the specimen collection. 2. Apply a cool, damp cloth to the finger to be used in the specimen collection. 3. Massage the hand before performing the specimen collection. 4. Elevate the hand before the specimen collection. - ANS 3. Massage the hand before performing the specimen collection. 2. A sputum specimen has been ordered for a patient admitted with possible pneumonia of the right lower lobe. Which is the best method for the nurse to use with a patient who cannot expectorate sputum on their own? 1. Pharyngeal suctioning 2. Nasotracheal suctioning 3. Oropharyngeal suctioning 4. Tracheal suctioning - ANS 2. Nasotracheal suctioning 3. The health care provider has ordered a stool specimen for blood that it is not possible to see with the naked eye. What does this examination detect? 1. Profuse bleeding 2. Gross blood 3. Obscure blood 4. Occult blood - ANS 4. Occult blood 4. A 46-year-old patient is seen by the health care provider for recurrent symptoms of cystitis. The patient is to provide samples for urine culture and sensitivity. Which is the best answer that the nurse can give to the patient when asked why the urine culture study has been ordered? 1. To identify the organism causing the infection 2. To determine the presence of malignant cells 3. To analyze the elements present in the urine 4. To localize the site of the inflammatory process - ANS 1. To identify the organism causing the infection 5. Rank order the instructions that would be given to the patient who is to collect a 24-hour urine specimen. 1. Place the collection container on ice. 2. Discard the first voided specimen and then collect the total volume of each void. 3. Explain the importance of collecting all voiding. 4. Instruct the patient not to allow toilet tissue or stool to enter the collection container. 5. Collect each void in a urine hat and add to the larger collection container. - ANS 3. Explain the importance of collecting all voiding. 4. Instruct the patient not to allow toilet tissue or stool to enter the collection container. 1. Place the collection container on ice. 2. Discard the first voided specimen and then collect the total volume of each void. 5. Collect each void in a urine hat and add to the larger collection container. 6. A patient has an indwelling urinary catheter. A sterile urine specimen has been ordered for culture and sensitivity. Which is the best method for the nurse to collect the urine specimen? 1. Obtain 60 mL of urine from the collection bag. 2. Remove the current catheter, have the patient void, and then recatheterize. 3. Disconnect the tubing from the catheter and drain 2 mL of urine. 4. Aspirate 10 mL of urine with a sterile syringe from the tubing port after cleaning with alcohol. - ANS 4. Aspirate 10 mL of urine with a sterile syringe from the tubing port after cleaning with alcohol. 7. A patient performing a fingerstick for blood glucose determination asks why the side of the fingertip is advised as the preferred site. Which is the best answer that the nurse will give to the patient? 1. The blood supply is greater in this area. 2. It is easier for the self-determination method. 3. The side of the finger is less responsive to pain than other sites. 4. It leaves more room for other site selection. - ANS 3. The side of the finger is less responsive to pain than other sites. 8. A patient is scheduled for a barium enema study. Which instructions will the patient be given? (Select all that apply.) 1. Maintain NPO status after midnight before the examination. 2. Ingest the strong laxative ordered as instructed before the procedure. 3. Take radiographic dye tablets the evening before the examination. 4. Monitor bowel movements after the procedure. 5. Increase fluid intake after the procedure. - ANS 1. Maintain NPO status after midnight before the examination. 4. Monitor bowel movements after the procedure. 5. Increase fluid intake after the procedure. 9. On evaluation of the patient after a venipuncture, the nurse recognizes which finding to be unexpected? (Select all that apply.) 1. The patient's heart rate is 80 and regular. 2. A large lump is noted under the skin at the venipuncture site. 3. The patient complains of a stinging sensation when the needle is inserted. 4. A small amount of blood is noted on the bandage over the venipuncture site. 5. The patient reports a tingling sensation down the arm used for the venipuncture. - ANS 2. A large lump is noted under the skin at the venipuncture site. 10. When obtaining a residual urine specimen, the nurse knows that it is important to catheterize the patient after the patient voids within which time frame? 1. 10 minutes 2. 30 minutes 3. 50 minutes 4. 90 minutes - ANS 1. 10 minutes