Fundamentals of Nursing - Urine Specimen Collection

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Questions and Answers

What is the recommended time of day to collect urine for routine urinalysis culture and sensitivity test?

Evening

Morning (first voided urine) (correct)

Midday

Afternoon

What is the purpose of providing a sterile container for urine analysis?

To enhance the urine's appearance

To prevent contamination (correct)

To increase the urine's acidity

To speed up the analysis process

What is recommended to be done before the collection of urine for routine urinalysis?

Discard the first flow of urine

Wait for 24 hours before collection

Label the specimen immediately

Perform perineal care (correct)

What is the normal color of urine as per the provided information?

Amber, light yellow Signup and view all the answers

What is the recommended pH range for urine as per the provided information?

Slightly acidic (pH 5.5 - 6.5) Signup and view all the answers

What is the recommended amount of urine needed for routine analysis as per the provided information?

15-30 ml Signup and view all the answers

What is the main reason for discarding the first voided urine in a 24-hour urine specimen collection?

To avoid diluting the specimen with freshly formed urine Signup and view all the answers

Why is it important to add preservative to the 24-hour urine specimen as ordered according to hospital policy?

To maintain the chemical integrity of the urinary components Signup and view all the answers

Why is clamping the catheter for 30 minutes to 1 hour recommended before collecting a catheterized urine specimen?

To prevent UTI by allowing adequate urine to accumulate in the bladder Signup and view all the answers

Why is it contraindicated to clamp the drainage tube and empty the urine into a container after genitourinary surgery?

To minimize the risk of infection and promote healing Signup and view all the answers

What is the purpose of obtaining a sterile urine specimen from a closed drainage system?

To ensure minimal contamination from external sources Signup and view all the answers

In fecalysis, why is it important to secure a sterile specimen container for collecting stool samples?

To prevent contamination from external sources Signup and view all the answers

What is the purpose of asking a patient to defecate into a clean, dry bed pan or portable commode when collecting a stool specimen?

To prevent contamination from external sources Signup and view all the answers

Why is it important not to disconnect or drain a closed drainage system when obtaining a sterile urine sample?

To maintain the chemical integrity of urinary components for analysis Signup and view all the answers

Why should one avoid high protein food intake before performing creatinine clearance test?

To ensure accurate measurement of creatinine clearance Signup and view all the answers

What is the significance of assessing for glucosuria in urine?

To assess glucose level and detect underlying conditions like diabetes mellitus Signup and view all the answers

Study Notes

Urine Analysis

The recommended time of day to collect urine for routine urinalysis culture and sensitivity test is in the morning, as the first voided urine is more concentrated and more likely to contain bacteria if present.

Urine Collection

A sterile container is provided to prevent contamination of the urine sample, ensuring accurate test results.
Before collecting urine for routine urinalysis, it is recommended to perform hand hygiene and clean the genital area with soap and water to prevent bacterial contamination.

Urine Characteristics

The normal color of urine is yellow or amber.
The recommended pH range for urine is 4.5-8.0.

Urine Specimen Collection

A minimum of 10-15 mL of urine is recommended for routine analysis.
The first voided urine in a 24-hour urine specimen collection is discarded to eliminate bacterial contamination from the urethra.
Adding preservative to the 24-hour urine specimen helps prevent bacterial growth.
Clamping the catheter for 30 minutes to 1 hour before collecting a catheterized urine specimen allows the urine to flow freely and reduces bacterial contamination.

Catheterized Urine Specimen Collection

Clamping the drainage tube and emptying the urine into a container after genitourinary surgery is contraindicated, as it may introduce bacteria into the urinary tract.
Obtaining a sterile urine specimen from a closed drainage system helps prevent contamination.

Fecalysis

A sterile specimen container is necessary for collecting stool samples to prevent contamination.
Asking a patient to defecate into a clean, dry bedpan or portable commode helps prevent contamination and ensures a clean specimen.

Creatinine Clearance Test

High protein food intake should be avoided before performing a creatinine clearance test, as it can affect test results.

Glucosuria

Assessing for glucosuria in urine is significant, as it can indicate underlying medical conditions, such as diabetes.
Urine preservation is important to prevent bacterial growth and maintain the integrity of the sample.

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Description

Test your knowledge on the procedures and best practices for collecting urine specimens for laboratory and diagnostic examinations in nursing. This quiz covers topics such as clean-catch midstream technique, timing of specimen collection, and handling of urine samples for analysis.