Fundamentals of Nursing: Urine Specimen Collection Quiz
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Questions and Answers

What is the best time to collect urine for routine urinalysis culture and sensitivity test?

  • Before bedtime
  • Afternoon
  • Midday
  • Morning first voided urine (correct)
  • What is the recommended container for immediate urine analysis if sterile container is not available?

  • Paper cup
  • Clean container (correct)
  • Plastic bag
  • Glass jar
  • What should be done before collecting urine for routine urinalysis?

  • Add preservatives to the urine
  • Do perineal care (correct)
  • Discard the last flow of urine
  • Label the specimen immediately
  • What should be documented when collecting a urine specimen?

    <p>Appearance, odor, and usual characteristics of the specimen</p> Signup and view all the answers

    What is the recommended amount of urine needed for routine urinalysis?

    <p>15-30 ml</p> Signup and view all the answers

    When should a urine specimen be sent to the laboratory for culture and sensitivity test?

    <p>After 30 minutes</p> Signup and view all the answers

    What is the correct procedure for collecting a 24-hour urine specimen?

    <p>Discard the first voided urine and then collect all specimens thereafter until the following day</p> Signup and view all the answers

    What is the principle for collecting a 24-hour urine specimen?

    <p>Start and end on an empty bladder</p> Signup and view all the answers

    What should be done if a urine collection is missed during a 24-hour urine specimen collection?

    <p>Discontinue the urine collection and notify the MD</p> Signup and view all the answers

    What is the purpose of collecting a catheterized urine specimen?

    <p>To obtain a sterile urine specimen to prevent UTI</p> Signup and view all the answers

    What should be avoided before conducting a creatinine clearance test?

    <p>High protein food intake</p> Signup and view all the answers

    What test is used to confirm pernicious anemia, vitamin B12 deficiency, and intrinsic factor deficiency anemia?

    <p>Schilling’s test</p> Signup and view all the answers

    What does glucosuria in urine indicate?

    <p>Diabetes mellitus, TPN, Cushing’s syndrome</p> Signup and view all the answers

    What is the purpose of collecting a stool specimen for fecalysis?

    <p>To assess gross appearance of stool and presence of ova or parasites</p> Signup and view all the answers

    What does melena indicate?

    <p>Upper gastrointestinal (UGI) bleeding</p> Signup and view all the answers

    What should be avoided in collecting a sterile urine specimen from a closed drainage system?

    <p>Disconnecting the drainage system</p> Signup and view all the answers

    Study Notes

    Urine Collection for Tests

    • Optimal urine collection time for routine urinalysis is the first morning specimen when the bladder is most concentrated.
    • If a sterile container is unavailable, a clean, dry, and tightly sealed plastic bottle is recommended for immediate urine analysis.

    Pre-Collection and Documentation

    • Prior to urine collection, patients should be instructed to clean the genital area to minimize contamination.
    • Documentation should include the date, time of collection, patient identification, and method of collection.

    Urine Volume and Timing for Tests

    • A minimum of 10-15 mL of urine is typically required for routine urinalysis.
    • Urine specimens for culture and sensitivity tests should be sent to the laboratory as soon as possible, ideally within one hour of collection.

    24-Hour Urine Specimen Collection

    • To collect a 24-hour urine specimen, start with an empty bladder, then collect all urine for the next 24 hours in a designated container.
    • The principle involves capturing all urine produced for 24 hours to accurately assess kidney function and substance levels.

    Handling Missed Collections

    • If a urine collection is missed during the 24-hour period, it should be documented, and the collection restarted from that point to ensure accurate results.

    Catheterized Urine Specimens

    • The purpose of collecting a catheterized urine specimen is to obtain a sterile sample, especially in patients unable to provide a clean catch sample, ensuring reduced contamination risk.

    Creatinine Clearance Test Precautions

    • Patients should avoid high-protein diets, excessive exercise, and dehydration prior to a creatinine clearance test to ensure accurate results.

    Anemia Testing

    • The Schilling test is used to confirm pernicious anemia, vitamin B12 deficiency, and intrinsic factor deficiency anemia.

    Glucosuria Implications

    • Presence of glucosuria in urine may indicate diabetes mellitus or other glucose metabolism disorders.

    Stool Specimen Collection Purpose

    • Collecting a stool specimen for fecalysis aims to diagnose gastrointestinal conditions, including infections and malabsorption.

    Interpretation of Melena

    • Melena indicates upper gastrointestinal bleeding, characterized by black, tarry stools.

    Sterile Urine Specimen Collection Precautions

    • Avoid touching the drainage system or using unsterilized containers when collecting a sterile urine specimen from a closed drainage system to prevent contamination.

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    Description

    Test your knowledge on urine specimen collection procedures for routine urinalysis and culture and sensitivity tests. This quiz covers the best time to collect urine, the proper collection method, and the handling of the specimen for analysis.

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