Author Question: A nurse is reviewing results from a urine specimen. What will the nurse expect to see in a patient ... (Read 41 times)

littleanan · **on:** Jul 22, 2018

A nurse is reviewing results from a urine specimen. What will the nurse expect to see in a patient with a urinary tract infection?

a. Casts
b. Protein
c. Crystals
d. Bacteria

Question 2

To obtain a clean-voided urine specimen from a female patient, what should the nurse teach the patient to do?

a. Cleanse the urethral meatus from the area of most contamination to least.
b. Initiate the first part of the urine stream directly into the collection cup.
c. Drink fluids 5 minutes before collecting the urine specimen.
d. Hold the labia apart while voiding into the specimen cup.

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

Answer to Question 1

ANS: D
Bacteria in the urine along with other symptoms support a diagnosis of urinary tract infection. Crystals would be seen with renal stone formation. Casts indicate renal disease. Protein indicates kidney function and damage to the glomerular membrane such as in glomerulonephritis.

Answer to Question 2

ANS: D
The patient should hold the labia apart to reduce bacterial levels in the specimen. The urethral meatus should be cleansed from the area of least contamination to greatest contamination (or front to back). The initial stream flushes out microorganisms in the urethra and prevents bacterial transmission in the specimen. Drink fluids 30 minutes before giving a specimen.