Specimen collection
A patient has been scheduled for an invasive diagnostic procedure. As the nurse how do you assist the patient?
Obtain a signed informed consent In the care plan you would include risk for anxiety related to procedure as patient problem
A charge nurse overhears a newly licensed nurse providing instructions to a female client on proper steps to collect a midstream specimen, what statement would cause the charge nurse to intervene?
"Use the provided towelette to cleanse in a back and forth motion" Should be front to back
What would you assess first for a client who is going to have a CT scan with contrast medium?
An allergy to iodine or shellfish
A client requires a stool test for occult blood, what is the best intervention to be performed to obtain accurate results ?
Apply a small amount of stool in the first and second box Certain foods, medications, and urine may affect the test. May need to take multiple tests over several days.
A patient has an order for a 24 hour urine specimen, after 22 hours the urine is accidentally contaminated by the patient. What is the first nursing action?
Contact the physician to inform them of contamination, they will need to order an in dwelling catheter
The nurse is preparing to collect urine specimen, what is included in the labeling? Select all
Date and time, room number, Medical record number (MRN), ect
The physician has ordered a clean-catch urine specimen for a client. Which of the following steps should the nurse implement to prevent contamination of the sample.
Ensure that the perineum is cleansed with antiseptic wipes prior to collecting the sample. Also: collect midstream/ use sterile container
A patient has an order for a chest X-ray. What is the first action for the procedure?
Have the patient remove all jewelry Ensure radiopaque clothing has been removed
What is the best time to obtain a sputum sample from a patient?
In the morning apon awakening before a meal
How do you assess a patients knowledge that they understand a procedure?
Informed consent states that the patient must fully understand and be aware of the risk and complications of what is to be done
A nurse has an order to obtain an aerobic wound culture, which of the following actions should the nurse take to obtain a specimen for culture if the client suspects they have a wound infection?
Insert the tip into the wound secretions (not inside the wound)
When checking for residual urine measurement at the time of catheterization, how much urine should be remaining in the bladder?
More than 50 ml remaining in the bladder is considered residual urine
When collecting any type of specimen, what should be included on the label?
Patients name, patients age, room number, hcp, date and time, type of specimen, and collectors initials
A patient is unable to expectorate their mucus, what is the best way to collect their specimen?
Perform nasotracheal suctioning
When taking a finger stick blood glucose reading, what is most important in obtaining an accurate reading?
Place lancet firmly against skin, wipe the first drop of blood that appears if recommended by manufacturer, and do not allow the finger (skin) to touch the test strip
A nurse is collecting a specimen for a culture and sensitivity test via a straight catheter. What action should the nurse take?
Use a sterile specimen container
How should the nurse prepare a patient who is going to have a bronchoscopy?
Reassure the patient that they will be able to breath during the procedure Also patient needs to stay NPO 4-8 hours before procedure and informed consent must be obtained
Put in order the procedure for obtaining occult blood from the stool.
Refer to providers orders, assemble the supplies, introduce yourself, identify patient, explain procedure, perform hand hygiene and ppe, collect stool specimen, follow steps on slide test (smear some in box A then box b), close card and put in biohazard bag, send to lab, document findings. Ect...
A patient has an order to undergo thoracentesis, which position is best during this procedure?
Sitting, leaning over a bedside table
A nurse in a providers office is reinforcing teaching to a client who needs to collect 24 hour urine specimen. What instruction should the nurse include in her teaching?
Stress that it has to be collected for 24 hours, instruct patient not to allow tissue or fecal material to touch specimen or enter container, and have patient discard first urine specimen.
The patient has undergone a lumbar puncture, what position will the nurse place the patient in for up to 12 hours to avoid discomfort?
Supine position (possible reclining)
Immediately following a liver biopsy, what is the nursing intervention for the patient?
Tell the patient to avoid coughing or straining and keep the patient on their right side for 1-2 hours
The health care provider ordered a 24 hour urine specimen, what do you do with the first specimen collected?
Throw it out
What is the correct technique for obtaining a throat culture is to use a sterile swab on the:
Tonsil area and pharynx
You are preparing a patient to have an ECG, what instructions should the nurse provide to the patient?
You will need to stay still during this test (supine position is best)
When reinforcing teaching about a patients esophagogastroduodenoscopy, your patient has upper gastric pain, what should be included in the teaching?
You will remain NPO 8 hours before the procedure
