Urine Specimens
A client has missed her period by two days and is concerned she may be pregnant. The client tells the nurse at the clinic that she wants to take an at-home pregnancy test. Which statement by the client needs to be addressed by the nurse?
"I should take the pregnancy test now."
After a clean void, a client gives the nurse the collection cup with 1 mL of urine for urinalysis. What would be the nurse's best response?
"Let's have you drink some water and try again in a while."
The nurse clamped the indwelling catheter for a clean void urine specimen. A nursing student asked for the rationale. What should be the nurse's response?
"This is to obtain the freshest urine possible."
A client has a kidney infection and asks why a urine culture is needed. What is the nurse's best response?
"We need to identify the type of bacteria causing the infection.
The healthcare provider ordered a urine culture for a client. Which item would a nurse need for a urine specimen collection from an existing indwelling urinary catheter?
10 mL syringe
The client has an indwelling catheter and a urinalysis is ordered. Where should the nurse obtain a clean void urine sample from? Select each site where a sample can be taken.
2 take sample
The healthcare provider ordered a 12-hour timed urine study at 06:00. The order was received by the nurse at 06:30. The client voided at 08:00. When will the nurse end the collection time for this order?
20:00
The nurse is preparing to collect a clean void urine specimen from a client who can void unassisted. Which supplies are needed? Select all that apply.
Antiseptic wipes Sterile specimen cup Gloves
A male client in the clinic provides a urine sample that is red-orange in color. Which action should the nurse take first?
Ask the client about current medications.
A male client is on a 24-hour timed urine study and will collect urine at home. What supplies will the nurse need to gather so the client can complete this study? Select all that apply.
Collection vessel Urinal Ice packs
A clean void urine is ordered. The 16-year-old client asks the nurse why they should wipe the urinary meatus from front to back. What rationale will the nurse give the client?
It prevents contamination of the urine specimen with stool.
The nurse's note from the previous shift noted that the client's reagent test may indicate uncontrolled diabetes. Which chemicals on the reagent test result may suggest this? Select all that apply.
Ketones Glucose
After the healthcare provider obtains a fresh urine specimen, what is the maximum time it can be stored at room temperature?
Less than 2 hours
Which urinalysis result could indicate infection?
Presence of leukocyte esterase
The nurse is unable to send the random urinalysis specimen immediately to the laboratory. What is the appropriate action for the nurse to take?
Refrigerate the urine specimen.
The nurse is caring for a 75-year-old uncircumcised male client who needs assistance with a urine specimen collection. Place the tasks in the correct order for collecting a urine specimen, from first to last.
· Wash hands. · Don gloves. · Open the container. · Retract the foreskin and clean the urinary meatus. · Collect the midstream of urine. · Replace the foreskin. · Label the specimen at the bedside. · Document the urine collection.
