Week 3specimen Collection

Question 1

Specimen collection of urine
Can urine be refrigerated after sample collection
Factors affect the culture contamination?

Answer 1

No refrigerating the sample as it is one of the greatest predictors of sample contamination.
*If blood sample was collected by a dedicated team the chances of sample contamination was low .

Question 2

Can urine test strips used in elderly patients on ex UTI

Answer 2

EBM reports No large number of FP due to the presence of asymptomatic bacteriuria and must not be used

Question 3

Proper technique for blood glucose monitoring

Accuracy of bedside glucose try in critically ill patients?

Answer 3

Low perfusion and hypo perfusion both predicted poor glucose strip performance

Question 4

Rapid strep test is it cost effective to do strep throat

Answer 4

EBM suggest the children with high risk of clinical suspicion the rapid strep test offer reasonable sensitivity and it is considered a std alone test not requiring a follow up of throat culture.
But if patients are clinically unlikely the RADT is not cost effective.

Question 5

Fecal occult blood testing ,what is the color change if +

3 occult blood test for stool

Answer 5

Blue is + for SOBT
Types of stool smears are wooden stick smear, toilet tissue smear, and direct smear were equally effective ways bases in EBM.
6 home sample was more effective for neoplasia.

Question 6

Wound culture specimen collection

Ask the pt on antibiotics or antifungals

Answer 6

H I CARE, prepare instruments,
Take the old dressings,
Remove gloves and get new gloves, perform hand hygiene
Rinse the wound with normal saline to remove skin flora and contamination, do not touch the eyes , gentle rotate the swab in the areas of the drainage ,
Squeeze the bottom of the tube to activate the reagent,

Question 7

Occult blood gastric secretions

Answer 7

Hh

Question 8

Throat culture
Wear mask, use tongue blade ,
Are you any antibiotics

Answer 8

Do not touch the teeth ,tongue ,or cheek, but swab the tonsil are areas side to side
Send it ASAP to lab

Question 9

Gastric secretions and occult blood test

Answer 9

2 drops in the testing area and 1 drop in the controller,

Blue color change , also note the PH

Question 10

Venu puncture

Answer 10

Use the index finger to palpate

With the bevel of the needle up 15 - 30 degree angle insert the needle.

Question 11

1. Sputum collection what is the amt ?

2. Is induced sputum testing better than gastric lovage for conformation for pulmonary to in children?

Answer 11

Need 1-2 teaspoon of sputum

2.yes it can be an alternative

Question 12

What can help or to cope with pain while inserting the catheter

Answer 12

When patient bear down as if straining to urinate or the action of bearing Down helps to relax the external sphincter and make it easier to insert the catheter.

Question 13

If the urine sample is collected and there is delay in transporting the sample to near hospital. What is the next step?

Answer 13

Immediate analysis is optimal but if not possible then Refrigeration may delay the high and inaccurate bacterial counts

Question 14

If my a& o pt is blood glucose is 450 wha t is my next step

Answer 14

Repeat the glucose check

Question 15

Input out put charting
Inputs are recorded in ml
1 oz = 30 ml
1 g = 1 ml

Answer 15

Yogurt , jelly also considered as fluid , and when you calculate it include with fluids

Food tray when you record the input you could record in percentage of the portion eaten.

Question 16

Different methods of urine collection

What are the things the nurse should check before collecting doing the dipstick

Answer 16

Make sure the strips are not expired
Read the manual instructions and do accordingly
Urine strips are done bedside testing,and read in 1 min and 2 minutes .
Label the container after the patient voids
Minimal Amt of UOP= 30 /ml per hour

Question 17

SOBT

False positives

Answer 17

False positives seen with foods like red eat, iron containing food, and certain drugs.