Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Nursing Skills
Test 4 - Specimen
| Question | Answer |
|---|---|
| When taking a specimen, what four things do you need to know before proceeding? | Everything depends on where the specimen is located, what it is, the kind of container required and lab protocol |
| What items get labeled on a specimen? (7) | Patient name and approp numbers, What it is, Where it was obtained, Date & time of collection, Test to be performed |
| Send a specimen to the lab in a ____ | Biohazard bag |
| We would culture a wound if it was not healing. What part would we culture? | The red granulation tissue |
| What are six s/s of infection? | Fever, Pus/Drainage, Productive cough, Drainage or urine w/ odor, Persistent diarrhea, Elevated WBC |
| Why do we culture before taking any infectives? (2) | Antibiotics will alter the results of a bacterial culture, Sensitivity tests will not be accurate and the best antibiotic may not be used since the tests would be inadequate |
| Where do we take a throat culture swab from? | Swab along tonsil/pharynx/reddened area |
| What is a culture and sensitivity test? | A culture is done to find out what kind of organism (usually a bacteria) is causing an illness or infection. A sensitivity test checks to see what kind of medicine, such as an antibiotic, will work best to treat the illness or infection. |
| The study of cells | Cytology |
| What type of testing is done to see if an individual has TB? | Acid-fast bacillus smear and culture and sensitivity aka TB Culture and Sensitivity |
| How many specimens need to be taken for the AFB test? | 2-3 am specimens over three consecutive days |
| A person producing a mucous secretion for a TB test should first do what two things? | Clean mouth, cough 1-2 times |
| What quantity of mucous secretions are required for AFB test? | 1-2 T |
| What is the most common urine test ordered? | Urinalysis |
| When obtaining a urinalysis, the urine should be a ____ _____ when possible | Clean catch |
| How much urine is needed for a urinalysis? | 10-20 cc |
| How much urine is usually sent for a urinalysis? | 120 cc |
| Measurement of the amount of solutes present in the urine ( the concentration) | Specific gravity |
| What is a normal value for specific gravity of urine? | 1.010-1.025 |
| What is a low value for specific gravity? What is a high value for specific gravity? | Ask |
| Measurement of a urine’s relative acidity or alkalinity | pH |
| What is the normal pH for urine? | Slightly acidic (6) |
| Should there be sugar in the urine? | No |
| Sugar in the urine is indicative of | Diabetes |
| Found in the urine, results from the breakdown of fatty acids | Ketones |
| Under what circumstances would be expect to find ketones in the urine? | Poor diabetic control, fasting, starvation, and high protein diets |
| Protein in the urine is a sign of | Glomerular damage and is not normal |
| Blood in urine can be a sign of | Kidney disease trauma or surgery if over 2 RBC |
| Invisible blood is called | Occult |
| What is used to collect urine in infants and toddlers? | Pediatric urine collection bag |
| For the elderly, what two things might need to be done to obtain a urine specimen? | Help with positioning, may need to straight cath |
| What is the procedure for collecting 24 hour urine? | Void and discard 1st void of day and then collect all subsequent voidings for next 24 hours |
| How is 24 hour urine stored? | Usually in refrigerator, may contain preservatives |
| What happens if BM gets in a specimen for 24 hr urine? | Call the lab and ask them what they you to do |
| What happens if you muss a voiding for 2 hour urine? | You need to start over |
| A stool specimen can’t have any contamination from __ or ___. | Urine, menstrual flow |
| A stool sample is sent to the lab | Immeadiately |
| What factors may interfere with testing stool? | Incontinence, menstrual flow |
| Is it normal ot have occult blood in the stool? | No |
| Blood in stool may mean you have blood in the | Gi tract |
| Name of test used to measured blood in stool | Hemoccult- sometimes called Quiac |
| What are three things that a stool culture can be used to test? | Ova, parasites, presence of c diff toxin |
| When obtaining a culture, use a ___ specimen cup | Sterile |
| Prior to obtaining a culture from a wound, what should you do? | Irrigate/cleanse would with sterile NS |
| How do you swab a wound for a culture? | Swab granulating tissue in the wound using a rolling method |
| Requires oxygen to live | Aerobic |
| Does not require oxygen to live | Anaerobic |
| Tests for the presence of blood in gastric fluid | Gastroccult |
| Does normal gastric contents have any blood in it? | No |
| When would teststrips be used? | When lab testing is not readily available |
| What types of things can teststrips test for? | Glucose, ketones, protein, blood |
| What are six times when blood glucose monitoring would be appropriate? | Ordered my md, s/s of hypo/hyper glycemia, before meals and at HS, every six hours when NPO |
| What are normal glucose levels for neonate | 30-60 |
| What are normal glucose levels for infant | 40-90 |
| What are normal glucose levels for child under 2 | 60-100 |
| Wht are normal glucose levels for child over 2 to adult? | 70-105 |
| What happens to blood glucose in the elderly? | It increases in range after age 50 |
| How do you test blood glucose for someone who is in isolation? | Ask |
| What is the technique for acquiring a blood sample for purposes of a blood glucose test? | Use lateral side of finger ,Cleanse site with warm water or alcohol wipe (sparingly), allow to dry, Wipe away first droplet, Squeeze or milk finger for large droplet, Monitor site until bleeding subsides |
Created by:
anastasia158
Popular Nursing sets