specimen collection

Question 1

stool

Answer 1

formed stool
1 inch/walnut size
no urine
no toilet paper

Question 2

stool-occult blood

Answer 2

may be delegated
no-beets, rare meats, radishes, melons, vitamin c, menstrual cycle (3 days prior)
NSAIDs, iron, anticoagulants (7 days prior)
2 areas of stool, flip, 2 drops of solution, wait 30-60 seconds before reading result

Question 3

urine specimen

Answer 3

may be delegated
10 mL-culture
30mL-urinalysis (UA)
clean peri area
clean catch-start voiding-stop-then catch (needed for urine culture)

Question 4

urine specimen catheter

Answer 4

clamp tubing 3 inches below port for no more than 30 minutes
wipe port with alcohol
connect syringe-draw out 10mL
UNCLAMP!
do not touch syringe to any surface
never take out of bag unless catheter was just inserted

Question 5

urine 24 hour

Answer 5

1. have client urinate and start time and discard first specimen
2. collect urine for 24 hours
3. have client void at end to empty bladder
4. may need to be refrigerated

Question 6

wound culture

Answer 6

assess wound
clean wound
culture wound

Question 7

sputum

Answer 7

do NOT delegate
morning is best
blow nose, rinse with water first
few deep breaths and cough
no saliva
5-10mL
need 3 consecutive for acid fast bacilli 8-24 hours apart

Question 8

throat culture

Answer 8

do NOT delegate
may gag
tongue out, say ahh
use pen light to illuminate pharynx
do NOT touch mouth/tongue ONLY tonsils/throat
gently swab oropharynx
insert into tube

Question 9

nasal swab

Answer 9

do NOT delegate
blow nose first
check for patency with pen light
moisten with sterile water
tilt head back, insert 1.5cm in, rotate 4 times, total 15 seconds, repeat
insert into tube