NHA Ch.4 Phlebotomy Questions and Answers

NHA Ch.4 Phlebotomy Questions and Answers One of the most commonly performed diagnostic tests involves ____ urine specimens When performing urine testing, _____ wearing gloves and replace then between specimens One of the most common laboratory tests is a ______ routine urinalysis For a urinalysis, ______ the urine specimen can be random, the first urine of the morning, or specifically after fasting Urine for the growth and ______ identification of micro-organisms. Another common urine test is a ______ culture The clean catch method is suitable for patients who can understand for _______ depositing a urine sample into a sterile cup or receptacle cerebrospinal fluid a normally clear liquid that surrounds the brain and spinal cord amniotic fluid the liquid that surrounds and protects the developing baby in the uterus urinalysis a diagnostic examination of urine urinary catheter a tube inserted into the bladder through the urethra to drain urine from the bladder pH a measure of the acid-base balance specific gravity measure of the concentration What are the most commonly performed urine test? the routine or random collection (no preparations or time restrictions) Perform hand hygiene before and after _____ handling urine specimens Wear gloves at all times, _____ and replace them between specimens Always use a sterile specimen ______ container Label all specimens on the side of the ______ container (not on the lid) Verify the information on the label with the ______ identification wristband and requisition Promptly test or _____ transport specimens Dispose of urine and any material on which urine has spilled ____ according to the facility's guidelines timed urine specimen ______ usually rigid, light-resistant containers with about a 3,000 mL capacity, wide mouth, and leak proof screw-on cap. For a 24-hour collection, the patient should begin at a specific time - for example, 7:00 a.m. (urine into toilet) If the patient forgets and urinates into the toilet at any time during that 24-hour period, ________ the collection is invalid and the patient must discard all the urine and begin again. Must keep container on ice or _____ in the refrigerator Understands not to place any toilet paper or _____ water in the collection container The patient should collect the final specimen as close as possible ______ to the end of the 24-hour time period Confirm that the patient is ______ fasting (usually for 12 hour) The collections must occur together, _____ usually every 1 or 2 hours (document the times accurately) If you do not collect a specimen on time, document the reason and _____ the actual time of collection What does a postprandial urine test require? a patient to urinate and eat a meal Collect a urine specimen 2 hours after the patient has eaten a predetermined amount of ______ carbohydrates or glucose solution Patients who have diabetes mellitus, this test monitors the effects of a ______ prescribed insulin dosage For patients who do not yet have a diagnosis of diabetes, _______ this test is a screening tool What does a clean-catch midstream collection require? a collection of the middle volume of urine The patient urinates a small amount of urine into the toilet, and then begins ______ the collection - stopping before the urine flow is flow is complete - then finishing urination in the toilet When instrustructing a patient to collect a clean-catch or midstream urine specimen, what type of container do you give them? a sterile urine container Not to allow anything to come in contact with the inside surface of the container and ______ lid except the urine Instruct the patient to wash the hands first, and then use soapy water or the antiseptic wipes to _____ cleanse the urinary meatus (the opening the urine comes through) For male patients, the urinary meatus is at the ______ tip of the penis Should cleanse it from _____ the meatus outward in a circular fashion Is the male patient's penis is uncircumcised, what should they do? They should retract the foreskin and then use the same cleansing technique Separate the skin folds around the urinary meatus and cleanse the area with _____ a mild antiseptic soap and water or antiseptic wipes, using front-to-back cleansing technique Pass some urine into the toilet, the urinate into the container until ______ it is one quarter to one half full, and finish urinating into the toilet of necessary Without touching the inner surface of the container and thye lid, the patient should _______ close the container, wash and dry it if it became wet with urine, and give it to you if they cannot bring it to the laboratory with 1 hour, ______ they should add the fate and time of collection and refrigerate it immediately What does a patient use to cleanse the genitals to the collection? an antiseptic wipe Why shouldn't the antiseptic be acholol, hydrogen peroxide, or iodine? because it can harsh antiseptics can hurt the patient and damage delicate tissue What is another way of performing a urine test? chemical analysis using the reagent strip method