Which of the following instructions should a phlebotomist provide to a patient who is collecting a urine specimen for culture?
"Capture the initial stream of urine."
"Clean the genital area prior to collection."
"Fill the container to capacity."
"Label the lid prior to collection."
The Correct Answer is B
Choice A reason:
Capturing the initial stream of urine, also known as the "first catch," is not recommended for a urine culture. This part of the urine stream can contain contaminants from the urethral opening and is not ideal for culture testing, which requires a clean sample.
Choice B reason:
Cleaning the genital area prior to collection is crucial for obtaining a clean-catch urine specimen. This reduces the risk of contamination from bacteria that are normally present on the skin around the urinary opening. Patients should be instructed to use antiseptic wipes to clean the area before collecting the urine sample.
Choice C reason:
Filling the container to capacity is not necessary and is not a specific instruction for urine culture collection. The focus should be on obtaining a midstream sample after the genital area has been cleaned, which provides a more accurate representation of the urine for culture purposes.
Choice D reason:
Labeling the lid prior to collection is an important step in the process to ensure proper identification of the specimen. However, it is not the primary instruction related to the actual collection of the urine sample. The label should include the patient's name, date, and time of collection and should be done after the sample is collected to avoid confusion or contamination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Quality control measurements are essential for ensuring the accuracy and reliability of blood glucose monitors. According to best practices, all blood glucose monitors in use, regardless of their origin, should undergo daily quality control checks. This is to verify that the monitors are functioning correctly and providing accurate readings, which is crucial for patient care and treatment decisions.
Choice B reason:
Focusing only on the blood glucose monitors from the new office for daily quality control measurements is not sufficient. While new equipment may be less likely to have wear-and-tear issues that could affect performance, it is still subject to potential inaccuracies and must be included in the daily quality control routine.
Choice C reason:
Similarly, excluding the new monitors and only checking those from the old medical office would neglect the possibility of inaccuracies in the newer equipment. All monitors, irrespective of their age, can experience calibration drift or other issues that affect their performance.
Choice D reason:
Opting not to perform daily quality control measurements on any of the blood glucose monitors would be against the recommended guidelines and could lead to inaccurate blood glucose readings. This could have serious implications for patient health, particularly in the management of diabetes.
Correct Answer is A
Explanation
Choice A Reason:
When a patient is under "Contact Precautions," it is recommended that healthcare workers don a gown upon entering the patient's room. This is to prevent the spread of infection through contact with the patient or their environment. The gown should be removed before leaving the room to avoid contaminating other areas.
Choice B Reason:
While a face shield may be necessary for certain procedures, it is not specifically required for "Contact Precautions." The primary concern with contact precautions is preventing the transmission of infections through touch, not through droplets, which is what a face shield would protect against.
Choice C Reason:
Donning a mask is not a standard requirement for "Contact Precautions" unless there is a risk of droplet transmission. In this scenario, the precautions are specifically for contact, and therefore, a mask alone would not be sufficient.
Choice D Reason:
Gloves should be donned before any potential contact with the patient or their immediate environment, not just after cleaning and evaluating the venipuncture site. Gloves are a critical component of PPE when dealing with patients under "Contact Precautions."
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