Question 1

The nurse is preparing a patient with peptic ulcer disease for discharge to home.What information does the nurse include in patient teaching about testing stool for occult blood?

Accepted Answer

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Question 2

A nurse is orienting another nurse to the procedures for collecting blood samples.Which statement indicates that the orientee needs further education?

Accepted Answer

The specimen should be labeled with more than just the patient's name; it should include additional identifiers such as the date of birth, the date and time of collection, and the collector's initials to ensure proper identification and handling.

Question 3

The nurse is obtaining a sputum specimen from a patient without using suction.What should the nurse have the patient do to produce enough sputum for a sample?

Accepted Answer

Taking several deep breaths and forcefully coughing helps to mobilize and expectorate sputum from the lungs, making it easier to collect a sufficient sample.

Question 4

While the nurse tries to obtain a sputum specimen from the patient who has pneumonia, the patient becomes short of breath, and the respiratory rate increases.Which intervention does the nurse implement next?

Accepted Answer

The nurse should provide prescribed supplemental oxygen to address the patient's increased respiratory rate and shortness of breath, ensuring adequate oxygenation.

Question 5

During a home visit, the patient with diabetes mellitus tells the nurse that she is having a very difficult time obtaining blood for glucose monitoring.Which intervention does the nurse use to help the patient obtain a good blood sample?

Accepted Answer

The answer of During a home visit, the patient with...

Question 6

The patient accidentally discards voided urine during a 24-hour urine collection.What should the nurse do next?

Accepted Answer

The accuracy of a 24-hour urine collection depends on collecting all urine voided in that period. If any urine is discarded, the collection is incomplete and must be restarted to ensure accurate results.

Question 7

A patient in the doctor's office needs a throat culture.What should the nurse implement to obtain a proper sample?

Accepted Answer

Depressing the anterior third of the tongue allows better access to the throat without triggering the gag reflex, ensuring a proper sample is obtained.

Question 8

The nurse evaluates the venipuncture site before leaving the patient's room with the blood specimen.Which nursing observation is an unexpected outcome?

Accepted Answer

A soft subcutaneous lump at the venipuncture site may indicate a hematoma or infiltration, which is an unexpected outcome.

Question 9

A patient is unable to void on demand for a clean-voided specimen.What is the appropriate action by the nurse?

Accepted Answer

Offering fluids and waiting allows the bladder to fill, which may help the patient void naturally without the need for invasive procedures.

Question 10

The nurse is preparing to obtain a blood specimen.Which is the most important intervention for the nurse to complete before obtaining a blood specimen?

Accepted Answer

Verifying patient identification is the most important step to ensure that the correct patient is receiving the correct procedure, which is crucial for patient safety and to prevent errors.

Question 11

The nurse is obtaining a nasal culture using a commercially prepared culture tube.After placing the swab in the culture tube, what should the nurse do next?

Accepted Answer

After placing the swab in the culture tube, the nurse should label the specimen and enclose it in a plastic biohazard bag to ensure proper identification and safe transport to the laboratory.

Question 12

The nurse is trying to obtain urine from a pediatric patient for a urine culture.What is the smallest amount of urine the nurse needs to obtain from a patient for a urine culture?

Accepted Answer

For a urine culture, a minimum of 3 mL of urine is typically sufficient to perform the necessary tests.

Question 13

A female patient needs to provide a midstream-voided urine specimen for examination.What teaching by the nurse would provide a valid specimen?

Accepted Answer

The correct procedure for a midstream-voided urine specimen is to void a small amount of urine first to clear the urethra, then collect the sample midstream to avoid contamination.

Question 14

The nurse is teaching a patient about the proper procedure for testing stool for occult blood.The nurse's teaching has been effective if the patient makes which statement?

Accepted Answer

The correct procedure for testing stool for occult blood involves obtaining two separate samples from the same stool to ensure accuracy and reliability of the test results.

Question 15

The patient has an indwelling urinary catheter.What step should the nurse take first to obtain a urine specimen from this patient?

Accepted Answer

Clamping the drainage tubing for several minutes allows urine to accumulate in the tubing, ensuring a fresh sample can be obtained without contamination.

Question 16

The nurse is monitoring the collection of a 24-hour urine specimen.What action by the nurse will yield the most accurate test results?

Accepted Answer

Keeping the urine in a collection bottle in a container of ice helps preserve the sample and prevent bacterial growth, ensuring the most accurate test results.

Question 17

The health care provider orders a urine test.Which is the most important information for the nurse to consider before collecting the urine specimen needed for the test?

Accepted Answer

The most important information is whether the urine test requires a sterile specimen, as this will determine the method of collection to avoid contamination.

Question 18

The nurse is teaching a NAP to test urine with a reagent strip for chemical properties.Which technique demonstrated by the NAP would indicate understanding of the process?

Accepted Answer

The correct technique involves comparing the reagent strip to the color chart on the bottle to interpret the results.

Question 19

The nurse obtains blood specimens in the clinic and prefers using an antecubital vein.Which characteristics of veins in this area justify the nurse's preference for the antecubital site?

Accepted Answer

The antecubital vein is preferred because it is large, straight, and close to the surface, making it easier to access and draw blood from.

Question 20

The patient's blood glucose level was 134 mg/dL at 7 AM and is now 61 mg/dL at 3 PM.Which intervention should the nurse implement first?

Accepted Answer

Assess the patient for confirmatory findings.The nurse should first assess the patient for confirmatory findings, such as symptoms of hypoglycemia (e.g., sweating, shakiness, hunger, confusion) or hyperglycemia (e.g., thirst, frequent urination, fatigue).

Quiz 9: Specimen Collection