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Body Fluids Midterm Exam – Urinalysis Test Banks With Solutions

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Body Fluids Midterm Exam – Urinalysis Test Banks With Solutions State possible reasons why a laboratory would reject a urine specimen. -Specimens in unlabeled containers -Nonmatching labels and requisition forms -Specimens contaminated with feces or toilet paper -Containers with contamin...

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Body Fluids Midterm Exam – Urinalysis Test
Banks With Solutions

State possible reasons why a laboratory would reject a urine specimen. -Specimens in

unlabeled containers

-Nonmatching labels and requisition forms

-Specimens contaminated with feces or toilet paper

-Containers with contaminated exteriors

-Specimens of insufficient quantity

-Specimens that have been improperly transported




List changes that may take place in a urine specimen that remains at room temperature for more

than 2 hours. Increased: color, turbidity, pH, nitrite, bacteria, odor


Decreased: glucose, ketones, bilirubin, urobilinogen, RBCs, WBCs, casts




Discuss the actions of bacteria on an unpreserved urine specimen. Most problems are

caused by bacterial multiplication:

Decrease in clarity, glucose, ketones, bilirubin, urobilinogen, mood cells, trichomonas

Increase in odor, pH, nitrile, bacteria

,Body Fluids Midterm Exam – Urinalysis Test
Banks With Solutions
Methods for preserving urine specimens -Routine is refrigeration at 2°C to 8°C


-Ideal chemical preservative is bactericidal: inhibits urease and preserves formed elements




Instruct a patient in the correct procedure for collecting the following specimens: random

-Most common type received


-Routine screening for obvious abnormalities

-May be collected at any time




Instruct a patient in the correct procedure for collecting the following specimens: first morning

-Ideal screening specimen


-More concentrated than a random specimen

-Use for orthostatic protein confirmation and urine pregnancy tests




Instruct a patient in the correct procedure for collecting the following specimens: fasting

specimen -Actually is second specimen voided, collected after the first morning specimen


-Recommended for glucose monitoring

,Body Fluids Midterm Exam – Urinalysis Test
Banks With Solutions
Instruct a patient in the correct procedure for collecting the following specimens: 24-h timed

-Carefully timed specimen will produce accurate quantitative results


-The patient must remain adequately hydrated during short collection period

-Good for diurnal variation solutes

-Accurate timing is critical for accurate results




Instruct a patient in the correct procedure for collecting the following specimens: 2 hour

postprandial -Collects specimen 2 hours after finishing meal


-Monitors insulin therapy

-Results can be compared with fasting urine specimen and blood test results




Instruct a patient in the correct procedure for collecting the following specimens: catheterized

-Sterile specimen collected from bladder with a hollow tube (catheter)


-Most common test is bacterial culture




Instruct a patient in the correct procedure for collecting the following specimens: midstream

clean-catch -Alternative to catheterized specimen


-Less contaminated than routine collection

, Body Fluids Midterm Exam – Urinalysis Test
Banks With Solutions

Instruct a patient in the correct procedure for collecting the following specimens: suprapubic

aspiration -Completely free of contamination for culture and cytology


-External introduction of needle for aspiration from the bladder




Instruct a patient in the correct procedure for collecting the following specimens: three-glass

collection for prostatitis


Container 1: first urine passed

Container 2: midstream urine

Massage prostate to obtain prostatic fluid

Container 3: remaining urine and fluid

if bacterial count is x10 higher in 3 and 2 is negative for culture, it's prostatitis




Instruct a patient in the correct procedure for collecting the following specimens: pediatric

-Soft, clear, plastic bags, with hypoallergenic tape applied to genital area




Instruct a patient in the correct procedure for collecting the following specimens: drug specimen

-Proper collection, labeling, and handling must be documented

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