A clinical medical assistant working in an occupational health clinic is collecting an employee urine sample for a random drug screening. Which of the following actions should the medical assistant take to ensure the sample is valid?
Instruct the patient to collect the specimen and return it to the laboratory.
Measure and record the temperature of the specimen.
Pre-label the specimen container prior to collection.
Have the patient begin collecting the specimen mid-stream.
The Correct Answer is B
A. Instruct the patient to collect the specimen and return it to the laboratory: For a valid drug screening, the specimen should be collected in the presence of a medical professional to prevent tampering.
B. Measure and record the temperature of the specimen: Measuring and recording the temperature of the urine specimen is important to ensure that the sample is fresh and has not been tampered with or substituted.
C. Pre-label the specimen container prior to collection: The container should be labeled after the specimen is collected to avoid mix-ups and to ensure accurate tracking.
D. Have the patient begin collecting the specimen mid-stream: The specimen for drug testing should typically be collected as a first-morning or a mid-stream sample to ensure accuracy, but this can vary based on specific protocols.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Alcohol-based sanitizer: Alcohol-based sanitizers are effective for hand hygiene when there is no visible dirt or grease. They are generally used for routine hand antisepsis in situations where hands are not visibly soiled. For procedures involving body fluids, if hands are visibly soiled, traditional handwashing with soap and water is preferred.
B. Disinfectant scrub: Disinfectant scrubs are generally used for cleaning surfaces and are not appropriate for personal hand hygiene.
C. Antiseptic solution: Antiseptic solutions are used for cleaning skin before injections or procedures, not typically for hand hygiene.
D. Liquid soap: Liquid soap is suitable for handwashing, especially when hands are visibly soiled or after exposure to body fluids. In the context of body fluids, soap and water would be preferable to ensure effective removal of contaminants.
Correct Answer is C
Explanation
A. Convulsions: Convulsions are not a common complication of phlebotomy; they are unrelated to the procedure.
B. Petechiae: Petechiae are small red spots that can occur but are less common than hematomas in phlebotomy.
C. Hematoma: A hematoma, or bruise, is the most common complication resulting from the accumulation of blood outside the vein after a blood draw.
D. Hypovolemia: Hypovolemia, or low blood volume, is not a common complication from routine phlebotomy.
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