Author Question: The nurse receives an order to collect a midstream urine specimen from the client. Which task is not ... (Read 49 times)

rayancarla1 · **on:** Jun 25, 2018

The nurse receives an order to collect a midstream urine specimen from the client. Which task is not a nursing responsibility?

1. Teaching the client how to clean the genitals prior to collecting the specimen
2. Labeling the specimen and sending it to the lab
3. Assuring that the specimen is collected following sterile technique
4. Documenting that the specimen has been collected and what was done with it

Question 2

The nurse is assisting the health care provider to collect cerebrospinal fluid for testing to rule out meningitis. Which are the nurse's responsibilities?

Select all that apply.
1. Explain the procedure and obtain signed consent.
2. Teach the client how to assist during the procedure by maintaining proper positioning.
3. Observe sterile technique when preparing the equipment for the procedure.
4. Label all specimens collected and send them to the lab.
5. Assess the client before, during, and after the procedure.

adammoses97 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 3

When a midstream urine specimen is ordered, the nurse teaches the client how to collect the specimen, labels the collection bottle, and documents the specimen collection. Midstream urine specimens are kept as clean as possible, but the only way to collect a truly sterile specimen is by inserting a catheter to collect the urine specimen.

Answer to Question 2

Correct Answer: 2,3,4,5

The nurse does not explain the procedure prior to obtaining the consent; this is the role of the health care provider. The nurse may witness the signature if the client does not have questions. The client should be taught how to maintain proper positioning during the procedure to prevent complications. Once the fluid has been collected, all tubes should be properly labeled and sent to the lab. Although the nurse may delegate this to the unlicensed assistive personnel, the nurse is responsible. The nurse's primary responsibility is to monitor the client's condition before, during, and after the procedure. The nurse also observes sterile technique when setting up the sterile tray in preparation for the procedure.