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Specimen collection Exam Questions And Answers

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*1. New health care provider orders are transcribed for a patient to receive a colonoscopy. What must be completed before the colonoscopy to indicate the patient has been given full knowledge about what will be done along with its risks and complications? a.Patients' rights b.Advance directive c.Informed consent d.Patient protection - ANS c.Informed consent Informed consent states that the patient must fully understand and be aware of the risks and complications of what is to be done. Nurse is responsible for assessing the patient's knowledge of the procedure and preparing the patient Consent requires: -patient -parent -legal guardian *Fully understands what will be done during test, surgery, or any medical procedure and understands the risks and implications pg 648 2. The nurse is preparing a patient for a diagnostic examination. What can the nurse implement to assist with reducing anxiety? a.Explain the costs of the examination. b.Demonstrate use of equipment. c. Answer questions for clarification. d. Fill out required paperwork - ANS c. Answer questions for clarification. The nurse must be prepared to answer questions that the patient may have to reduce anxiety and give valid information. *provides security and emotional support 3. A patient is required to provide a sample of body excretions per health care provider order. What action can the nurse take when providing proper instructions to lessen the patient's embarrassment? a.Instruct patient to provide the specimen behind a screen. b.Instruct patient to obtain his or her own specimen. c.Instruct patient to return later when he or she is more comfortable. d.Instruct patient to use a CNA for assistance to obtain the specimen. - ANS b.Instruct patient to obtain his or her own specimen. With proper instruction, many patients may obtain their own specimen: urine, stool and sputum. -most people believe excretions should be handle discreetly pg. 666 4. What health care professional has the responsibility for notifying the health care provider when laboratory and diagnostic studies deviate from the norm? a.Laboratory technician b.Cooperating health care provider c.Nurse d.Supervisor - ANS c.Nurse It is the nurse's responsibility to notify the health care provider when laboratory and diagnostic studies deviate from the norm and intervention is necessary pg. 666 5. What is the term for the cleanest part of a voided urine specimen that is collected after voiding is initiated and before it is finished? a.Sterile specimen b."Caught" specimen c.Midstream specimen d.Patient-collected specimen - ANS c.Midstream specimen A midstream urine specimen is collected after voiding is initiated and before it is completed. void: 30 mL in toilet without stopping flow place sterile cup (avoid touching outside parts) collect and than without stopping flow finish voiding in toilet -collected to perform culture and sensitivity -Is the cleanest part of the voided specimen and is collected in a sterile container Determines: -pH -Specific gravity -protein -glucose -ketones -blood -WBC *use to diagnose and treat UTIs Have pt cleanse well with antiseptic wipes. Female: separate labia, wipe front to back Male: cleanse circular motion from meatus outward uncircumcised foreskin should be retracted pg. 667-668 skill 23.2 *6. The patient is to be catheterized for residual urine. The nurse must perform this catheterization within how many minutes following voiding? a.40 minutes b.30 minutes c.20 minutes d.10 minutes - ANS d.10 minutes Catheterization is performed within 10 minutes of the patient voiding to check for residual urine. more than 50mL urine remaining in the bladder is residual urine. pt may require indwelling Catheter insertion. residual urine: urine left in the bladder pg. 667 7. The process for collecting a blood specimen for measuring blood glucose levels begins by asking the patient to hold the selected arm at his or her side for 30 seconds. From what anatomic location is the specimen obtained? a.Tip of the finger b.Cubital fossa c.Side of the finger d.Center of the thumb - ANS c.Side of the finger The specimen should be collected from the side of the selected finger to avoid painful fingertip sticks. -ask to pt to hold arm at site side 30 secs. (increases blood flow to site) -stroke finger with downward motion -wipe first drop -do not allow finger touch test pad pg. 671 skill 23.5 *8. What type of stool specimen must be sent to the laboratory immediately? a.Occult blood b.Ova and parasites c.Infection d.Fats - ANS b.Ova and parasites

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Specimen collection Exam Questions
And Answers




A
R
U
LA
C
O
D

,*1. New health care provider orders are transcribed for a patient to receive a colonoscopy. What
must be completed before the colonoscopy to indicate the patient has been given full knowledge
about what will be done along with its risks and complications?

a.Patients' rights
b.Advance directive




A
c.Informed consent
d.Patient protection - ANS c.Informed consent




R
Informed consent states that the patient must fully understand and be aware of the risks and
complications of what is to be done.

Nurse is responsible for assessing the patient's knowledge of the procedure and preparing the



U
patient

Consent requires:
LA
-patient
-parent
-legal guardian

*Fully understands what will be done during test, surgery, or any medical procedure and
understands the risks and implications
C

pg 648

2. The nurse is preparing a patient for a diagnostic examination. What can the nurse implement
O


to assist with reducing anxiety?

a.Explain the costs of the examination.
D



b.Demonstrate use of equipment.
c. Answer questions for clarification.
d. Fill out required paperwork - ANS c. Answer questions for clarification.

The nurse must be prepared to answer questions that the patient may have to reduce anxiety
and give valid information.

*provides security and emotional support

, 3. A patient is required to provide a sample of body excretions per health care provider order.
What action can the nurse take when providing proper instructions to lessen the patient's
embarrassment?

a.Instruct patient to provide the specimen behind a screen.
b.Instruct patient to obtain his or her own specimen.
c.Instruct patient to return later when he or she is more comfortable.
d.Instruct patient to use a CNA for assistance to obtain the specimen. - ANS b.Instruct
patient to obtain his or her own specimen.

With proper instruction, many patients may obtain their own specimen: urine, stool and sputum.




A
-most people believe excretions should be handle discreetly




R
pg. 666

4. What health care professional has the responsibility for notifying the health care provider
when laboratory and diagnostic studies deviate from the norm?



U
a.Laboratory technician
LA
b.Cooperating health care provider
c.Nurse
d.Supervisor - ANS c.Nurse

It is the nurse's responsibility to notify the health care provider when laboratory and diagnostic
studies deviate from the norm and intervention is necessary
C

pg. 666

5. What is the term for the cleanest part of a voided urine specimen that is collected after
O


voiding is initiated and before it is finished?

a.Sterile specimen
D



b."Caught" specimen
c.Midstream specimen
d.Patient-collected specimen - ANS c.Midstream specimen

A midstream urine specimen is collected after voiding is initiated and before it is completed.

void: 30 mL in toilet without stopping flow place sterile cup (avoid touching outside parts) collect
and than without stopping flow finish voiding in toilet

-collected to perform culture and sensitivity

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