Author Question: What should the nurse instruct a client for obtaining a clean voided urine specimen? 1. Collect ... (Read 45 times)

LCritchfi · **on:** Jul 23, 2018

What should the nurse instruct a client for obtaining a clean voided urine specimen?

1. Collect at least 5 mL of urine.
2. Collect the first voided specimen in the morning.
3. Keep the specimen on ice.
4. Void in a sterile cup.

Question 2

The nurse is collecting a sputum specimen from a client. Which action should the nurse take during the collection of this specimen?

1. Collect at least 30 mL of sputum.
2. Offer mouth care.
3. Take shallow breaths.
4. Wear a mask.

Jane · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: At least 10 mL of urine is generally sufficient for a routine urinalysis.
Rationale 2: Routine urine examination is usually performed on the first voided specimen in the morning because it tends to have a higher, more uniform concentration and a more acidic pH than specimens later in the day.
Rationale 3: A timed urine specimen should be refrigerated or kept on ice to prevent bacterial growth or decomposition of urine components.
Rationale 4: A clean voided urine specimen does not need to be placed in a sterile container, but a clean-catch or midstream specimen does.

Answer to Question 2

Correct Answer: 2
Rationale 1: At least 1 to 2 teaspoons or 4 to 10 mL should be collected.
Rationale 2: Offer mouth care so that the specimen will not be contaminated with microorganisms from the mouth.
Rationale 3: The client should be instructed to breathe deeply and then cough, not take shallow breaths, as this would not raise the sputum.
Rationale 4: A mask needs to be worn only if TB is suspected.