Urine Specimen Collection and Testing
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Questions and Answers

What is the primary source of a sputum specimen?

  • Salivary glands
  • Throat
  • Lungs, trachea, and bronchi (correct)
  • Oral cavity
  • What should you do to collect a sputum specimen?

  • Ask the patient to spit
  • Ask the patient to take a deep breath and expectorate (correct)
  • Use a needle to collect the specimen
  • Use a swab to collect the specimen
  • Why is it important to introduce yourself to the patient during specimen collection?

  • To establish a personal connection
  • To ensure correct patient identification (correct)
  • To explain the specimen collection procedure
  • To gain the patient's trust
  • What should you do with the reagent strip after dipping it into the urine?

    <p>Dispose of it in a biohazard bag</p> Signup and view all the answers

    What is the purpose of using a kit for saliva specimen collection?

    <p>To test for hormone, alcohol, and drug levels</p> Signup and view all the answers

    Why is it important to label specimens in front of the patient?

    <p>To prevent specimen mix-ups</p> Signup and view all the answers

    What type of specimen is collected from the oral cavity?

    <p>Saliva</p> Signup and view all the answers

    Why should you wash your hands and don gloves during specimen collection?

    <p>To prevent specimen contamination</p> Signup and view all the answers

    What is the recommended method to confirm patient identification?

    <p>Using at least two patient identifiers</p> Signup and view all the answers

    What is the correct procedure for labeling specimens?

    <p>Labeling specimens in front of the patient</p> Signup and view all the answers

    What is a special requirement for a Glucose Tolerance Test (GTT)?

    <p>The patient should avoid eating for 12 hours before the test</p> Signup and view all the answers

    What is the purpose of a postprandial test?

    <p>To screen for diabetes mellitus in non-diabetic patients</p> Signup and view all the answers

    What is the collection procedure for a 24-hour urine collection?

    <p>Collecting urine specimens in a large container with a lid</p> Signup and view all the answers

    Why is it important to dispose of urine specimens according to facility guidelines?

    <p>To comply with OSHA regulations</p> Signup and view all the answers

    What is the timing requirement for blood and urine tests in a GTT?

    <p>Tests should be performed at the same time</p> Signup and view all the answers

    Why is it important to document the time of collection for urine specimens?

    <p>To document any deviations from the collection schedule</p> Signup and view all the answers

    When performing a urine test for drug screening, what is important to ensure?

    <p>The patient's privacy and the accuracy of the results are ensured</p> Signup and view all the answers

    What is the purpose of a chain of custody form in drug testing?

    <p>To document the handling of the specimen</p> Signup and view all the answers

    What should the patient do when collecting a clean-catch midstream urine specimen?

    <p>Void a small amount of urine into the toilet, then begin the collection</p> Signup and view all the answers

    Why should the patient use an antiseptic wipe to cleanse the genitals before collecting a clean-catch midstream urine specimen?

    <p>To prevent contamination from bacteria on the surface of the labia or penis</p> Signup and view all the answers

    What should be used to cleanse the genitals before collecting a clean-catch midstream urine specimen?

    <p>An antiseptic wipe of the facility's choice</p> Signup and view all the answers

    What should be done with the urine specimen after collection for C&S testing?

    <p>It is collected into a sterile container and then transported into another vessel</p> Signup and view all the answers

    What is the purpose of discarding the first morning urine specimen before collecting a urine specimen for drug testing?

    <p>To remove any contaminants from the previous night</p> Signup and view all the answers

    When should the patient be informed about special handling instructions for urine specimen collection?

    <p>Before the collection is initiated</p> Signup and view all the answers

    What is the main advantage of performing a urinalysis?

    <p>It provides information about a patient's condition at a low cost</p> Signup and view all the answers

    Why is it important to collect urine specimens in the morning?

    <p>To capture higher hormone levels</p> Signup and view all the answers

    What should be done with urinary specimens during handling?

    <p>Keep them as stable as possible to prevent accidental spilling</p> Signup and view all the answers

    Why should gloves be changed between handling urine specimens?

    <p>To prevent contamination of specimens</p> Signup and view all the answers

    What should be done before and after handling urine specimens?

    <p>Wash hands</p> Signup and view all the answers

    Where should the label be placed on the urine specimen container?

    <p>On the side of the container</p> Signup and view all the answers

    What type of urine collection is the most commonly performed?

    <p>Routine or random urine collection</p> Signup and view all the answers

    What should be provided to the patient to help them perform urine specimen collection correctly?

    <p>Written information and the opportunity to ask questions</p> Signup and view all the answers

    When is it best to collect a sputum specimen?

    <p>Several hours after a patient eats or first thing in the morning</p> Signup and view all the answers

    Why is it important to use a clean container with a lid for fecal specimen collection?

    <p>To prevent contamination of the specimen</p> Signup and view all the answers

    What should be instructed to the patient prior to collecting a semen specimen?

    <p>The need to refrain from ejaculation for a certain period</p> Signup and view all the answers

    Why should a throat swab be collected?

    <p>To test for strep throat</p> Signup and view all the answers

    What should be done with a semen specimen after collection?

    <p>Keep it warm and protect it from light</p> Signup and view all the answers

    Where should the label be placed on a fecal specimen container?

    <p>On the container</p> Signup and view all the answers

    Why should a condom not be used during semen specimen collection?

    <p>It may contain spermicides</p> Signup and view all the answers

    How long should a semen specimen be brought to the laboratory for testing?

    <p>Within 2 hours</p> Signup and view all the answers

    During a Glucose Tolerance Test, blood and urine tests should be performed at different times.

    <p>False</p> Signup and view all the answers

    For a 24-hour urine collection, the patient receives a small container with a lid.

    <p>False</p> Signup and view all the answers

    A postprandial test requires a patient to fast for 12 hours before the test.

    <p>False</p> Signup and view all the answers

    It is not necessary to label specimens in front of the patient.

    <p>False</p> Signup and view all the answers

    Urine specimens can be disposed of in regular trash.

    <p>False</p> Signup and view all the answers

    The patient is responsible for collecting their own urine specimen without medical personnel supervision.

    <p>False</p> Signup and view all the answers

    A reagent strip is used to perform a blood test.

    <p>False</p> Signup and view all the answers

    Saliva specimens are used to test for hormone, alcohol, and glucose levels.

    <p>True</p> Signup and view all the answers

    When collecting a sputum specimen, the patient should cough gently into the container.

    <p>False</p> Signup and view all the answers

    It is recommended to collect urine specimens in the morning for a glucose tolerance test.

    <p>False</p> Signup and view all the answers

    Wearing gloves is only necessary when handling blood specimens.

    <p>False</p> Signup and view all the answers

    A 24-hour urine collection involves collecting a single urine specimen at the end of the 24-hour period.

    <p>False</p> Signup and view all the answers

    The patient should be instructed to void the entire urine into the container when collecting a clean-catch midstream urine specimen.

    <p>False</p> Signup and view all the answers

    Alcohol can be used to cleanse the genitals before collecting a clean-catch midstream urine specimen.

    <p>False</p> Signup and view all the answers

    The chain of custody form is only required for urine tests that determine prescription drugs.

    <p>False</p> Signup and view all the answers

    Refrigeration is never necessary for urine specimens.

    <p>False</p> Signup and view all the answers

    The first morning urine specimen is always used for drug testing.

    <p>False</p> Signup and view all the answers

    A clean-catch midstream urine specimen is not required for Culture and Sensitivity testing.

    <p>False</p> Signup and view all the answers

    The patient should be informed about special handling instructions after the collection process is complete.

    <p>False</p> Signup and view all the answers

    The facility's instructions for performing a urine test for drug screening are not important to follow.

    <p>False</p> Signup and view all the answers

    Study Notes

    Urine Specimen Collection

    • Urine specimen collection is a common diagnostic test used to diagnose conditions, such as glucose levels, hormone levels, and drug testing.
    • Various methods of collection include random, first morning urine, fasting, clean-catch midstream, catheter, and suprapubic.
    • Wear gloves and change gloves between specimens to prevent contamination.
    • Perform tests on a flat surface and keep the specimen stable to prevent accidental spilling.

    Reagent Strip Method

    • Use a reagent strip to analyze urine for specific substances.
    • Dip the reagent strip into the urine for the specified time, then remove and analyze.
    • Wear gloves when dipping the reagent strip and throughout the duration of the test.
    • Use the analysis chart provided to determine the level of substance by matching colors.

    Nonblood Specimen Collection

    • Saliva specimens are used to test for hormone, alcohol, and drug levels.
    • Follow the instructions provided with the kit or check with the facility for proper procedures.
    • Label all specimens in front of the patient and bring to the laboratory promptly.

    Sputum Specimens

    • Sputum specimens are collected from the lungs, trachea, and bronchi.
    • Instruct the patient to take a deep breath and expectorate by coughing deeply and spitting the thick matter from their lungs into the specimen container.
    • Follow the instructions at the facility for collecting this specimen.
    • Confirm patient identification by using at least two patient identifiers.

    Glucose Tolerance Test (GTT)

    • Confirm that the patient is fasting (usually for 12 hr.).
    • Perform blood and urine tests at the same time in the order recommended by the facility.
    • Collect specimens every 1 or 2 hr. and document the time accurately.

    Postprandial Test

    • A patient eats a meal, then a urine specimen is collected 2 hr. after.
    • This test monitors the effects of a prescribed insulin dosage for patients with diabetes mellitus or is a screening tool for patients without diabetes mellitus.

    24-Hour Urine Collection

    • Instruct the patient to void and discard the first morning urine specimen, then initiate the collection process.
    • Inform the patient of any special handling instructions, such as refrigeration or return time.

    Drug Testing

    • Perform urine tests to determine what nonprescription drugs a patient has in their system.
    • Ensure privacy and accuracy of the results.
    • Use a chain of custody form and confirm that it is completely filled out.

    Clean-Catch Midstream Collection

    • Collect the middle volume of urine.
    • Inform the patient to void a small amount of urine into the toilet, then begin the collection.
    • Stop collecting urine before the flow is complete by moving the container.
    • Clean the genitals with an antiseptic wipe before collection.

    Fecal Specimens

    • Fecal tests are performed to determine if a patient has a possible bacterial infection, parasites, or occult blood.
    • Use a clean container with a lid and label the specimen in front of the patient.
    • Follow specific dietary instructions prior to the patient collecting a specimen.

    Semen Specimens

    • Semen specimens are used to perform sperm counts to assess fertility.
    • Introduce yourself and confirm patient identity with at least two patient identifiers.
    • Wash hands and don gloves before handling semen specimens.
    • Collect into a sterile container and keep the specimen warm and protected from light.

    Throat Swab

    • A throat swab is a culture specimen usually obtained to test for strep throat.
    • Follow the instructions provided with the kit or check with the facility for proper procedures.

    Urine Test by Chemical Analysis

    • Urine is collected in a sterile container and a reagent strip is dipped into the urine for a specified time.
    • The absorbent pads on the reagent strip change colors depending on the level of the substance in the patient's urine.
    • Colors are matched to an analysis chart to determine the level of the substance.
    • Gloves should be worn during the test, and the used reagent strip should be disposed of in a biohazard bag.

    Non-Blood Specimens

    • Saliva specimens are used to test for hormone, alcohol, and drug levels.
    • Kits with instructions are usually available, but facility procedures should be followed if instructions are lacking.
    • All specimens should be labeled in front of the patient and brought to the laboratory promptly.

    Sputum Specimens

    • Sputum is collected from the lungs, trachea, and bronchi.
    • Patients should be instructed to take a deep breath and expectorate by coughing deeply and spitting the thick matter into a specimen container.
    • Facility procedures should be followed for collecting sputum specimens.

    General Specimen Collection Procedures

    • Introduce yourself, confirm patient identity using at least two patient identifiers, wash your hands, and don gloves.
    • Use a sterile specimen container and label all specimens in front of the patient.
    • Promptly test or transport specimens and dispose of them according to facility guidelines.

    Special Urine Tests

    Glucose Tolerance Test (GTT)

    • Confirm that the patient has fasted for 12 hours.
    • Blood and urine tests should be performed at the same time, usually every 1 or 2 hours.
    • Accurately document the time of collection.

    Postprandial Test

    • Patient voids, eats a meal, and then a urine specimen is collected 2 hours later.
    • Used to monitor effects of insulin dosage in diabetic patients and as a screening tool for non-diabetic patients.

    24-Hour Urine Collection

    • Patient discards the first morning urine specimen and then initiates the collection process.
    • Inform the patient of any special handling instructions and refrigeration requirements.

    Drug Testing

    • Ensure patient privacy and accuracy of results.
    • A chain of custody form may be required, and all handlers of the specimen must sign and date the form.

    Clean-Catch Midstream Urine Specimen Collection

    • Collect the middle volume of urine after the patient has voided a small amount.
    • Use an antiseptic wipe to cleanse the genitals before collection to prevent contamination.
    • Avoid using alcohol, peroxide, or iodine as they can harm the patient or damage tissue.

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    Learn about the different methods of urine specimen collection and the importance of proper handling and testing techniques in diagnostic testing.

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