TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 7TH EDITION BY POTTER
Chapter 09: Specimen Collection Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition MULTIPLE CHOICE 1. The nurse obtains blood specimens in the clinic and prefers using an antecubital vein. Which
characteristics of veins in this area justify the nurse’s preference for the antecubital site? a. It is easily accessed in the hand. b. It causes less pain and bleeding. c. It is large, straight, and close to the surface. d. It is superficial and the most distal. ANS: C
The nurse uses the antecubital area for blood draws because these veins are superficial, large, straight, and well anchored; these characteristics increase the chances of a successful blood draw on the first puncture. The antecubital area does not include the hand. Except for punctures in the hand, venipunctures tend to cause the same degree of pain and bleeding, regardless of the location. The most distal veins in the arm are located in the hand, and these veins are reserved for IV fluids. DIF: Cognitive Level: Remembering TOP: Nursing Process: Planning
OBJ: NCLEX: Physiological Integrity
2. The health care provider orders a urine test. Which is the most important information for the
nurse to consider before collecting the urine specimen needed for the test? a. That the specimen collection precedes antibiotic administration. N b. That the urine aspirated from the collection bag is suitable. c. Whether the urine test requires sending a sterile specimen. d. Whether the patient can provide peri-care properly. ANS: C
The most important information for the nurse to know is whether the specimen needs to be sterile. If the test requires a sterile specimen, the nurse uses sterile technique to collect an uncontaminated specimen. If not, collecting the specimen with clean technique is adequate. The patient’s ability to cleanse the perineum or whether to use urine aspirate are decisions answered by determining if the procedure needs to be sterile. If the urine sample is for a culture and sensitivity, it should be collected prior to administering antibiotics, but the question is asking about any urine sample. DIF: Cognitive Level: Remembering TOP: Nursing Process: Planning
OBJ: NCLEX: Physiological Integrity
3. The patient accidentally discards voided urine during a 24-hour urine collection. What should
the nurse do next? a. Instruct the patient to call for help before voiding. b. Consult with the laboratory for further instructions. c. Discard all urine and begin another 24-hour collection. d. State on the laboratory requisition that one specimen is missing. ANS: C
TESTBANKWORLD.ORG