Author Question: A timed urine specimen collection is ordered. The test will need to be restarted if which one of the ... (Read 121 times)

naturalchemist · **on:** Jul 22, 2018

A timed urine specimen collection is ordered. The test will need to be restarted if which one of the following occurs?

a. The client voids in the toilet.
b. The urine specimen is kept cold.
c. The first voided urine is discarded.
d. The preservative is placed in the collection container.

Question 2

A nursing student in the final term of nursing school is overheard by a nursing faculty member telling another student that she got to insert a nasogastric tube in the emergency department while she was working as a nursing assistant.

What advice is best for the nursing faculty member to give to the nursing student? a. Just be careful when you are doing new procedures and make sure you are following directions by the nurse.
b. Review your procedures before you go to work, so you will be prepared to do them if you have a chance.
c. The nurse should not have allowed you to insert the nasogastric tube because something bad could have happened.
d. You are not allowed to perform any procedures other than those in your job description even with the nurse's permission.

aburgess · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Missed specimens make the whole collection inaccurate. The test must be restarted.
The urine specimen is kept in a collection container, which may contain preservatives, or the urine may be kept in a collection container on ice. The urine specimen being kept cold is not a reason to restart a timed urine collection.
It is true that the first voided urine should be discarded; however, this is not a reason to restart a timed urine collection. The timed period begins after the client urinates. The first voided urine is discarded, and then the timed collection begins.
The urine specimen is kept in a collection container, which may contain preservatives.

Answer to Question 2

D
When nursing students work as nursing assistants or nurse's aides when not attending classes, they should not perform tasks that do not appear in a job description for a nurse's aide or assistant. The nursing student should always follow the directions of the nurse, unless doing so violates the institution's guidelines or job description under which the nursing student was hired. The nursing student should be able to safely complete the procedures delegated as a nursing assistant, and reviewing those not done recently is a good idea, but it has nothing to do with the situation. This option does not address the situation that the nursing student acted outside the job description for the nursing assistant position. The focus of the discussion between the nursing faculty member and the nursing student should be on following the job description under which the nursing student is working.