MA Chapter 47

which of the following is a general urine collection guideline?

Tell patients to refigerate the labeled collection container or keep it in a cooler or pail filled with ice

Which of the following is the most common type of urine sample?

Random urine specimen

Which urine speciman is collected after a nights sleep ad contains a greater concentrations of substances?

First morning urine speciman

The type of urine specimen that may be submitted for culturing to identity the number and the types of pathogens present is the

clean- catch midstream urine specimen

Which type of urine specimen can be used to measure a patients urinary output or analyze substances collected over a specified period of time?

Timed urine specimen

Which urine specimen is used to complete a quantitative and qualitative analysis of one or more substances such as sodium, chloride, or calcium?

24- hour speciman

A urine specimen, for culture can be obtained either through catheterization or by obtaining a ______.

clean-catch midstream urine specimen

Which of the following would you include in teaching a female patient how to collect a clean- catch midstream urine specimen?

Wipe down one side of the perineal area with the first towelette, down the other side with the second towelette, and down the middle with the third towelette

Which of the following would you include in patient instruction about collecting a 24-hour urine specimen?

Instruct the patient to keep the specimen covered and in the refrigerator throughout the test

The procedure during which a sterile plastic tube is inserted to provide urinary drainage is

catheterization

Catheterization is performed for which of the following reasons?

relieve urinary retention

Residual urine is

urine remaining in the bladder after avoiding

Which amount of residual urine is considered abnormal?

50 Ml

Which type of catheter is used to collect specimens or to install medications?

straight

Which type of catheter is used for drainage through a wound that leads to the bladder?

cyctostomy

Which type of catheter is inserted after plastic repair of the ureter and must remain in place for at least a week after surgery?

splinting

When you instruct a patient about how to collect a 24-hour urine specimen, which patient should you ask about possible leaking when laughing or coughing

60 year old female patient

A pregnant patients urine is checked for abnormal levels of protein during a prenatal visit to detect

preeclampsia

A pregnant patient who tells you that she is having pain during urination or in the kidney area may be experiencing

a urinary infection or kidney stones

Which of the following may indicate polycystic kidney disease

Proteinuria

Abnormally high levels of glucose in the urine indicate

diabetes mellitus

Which of the following is important when obtaining a urine specimen from a patient for drug and alcohol testing

explain the patient that no water may be running in the bathroom while he is providing the sample

Which of the following statements about refrigerating urine specimens is true

it may affect the sediment and specific gravity

Chemical and microscopic changes that invalidate a urine specimen occur if the urine is kept at room temperature for more than

1 hour

The normal urine value for protein is

negative to trace

which of the following is one of the first signs of liver disease

bilirubinuria

with adequate fluid intake, the average adult daily urine output is ____ mL per 24 hours

1250

which of the following are nonpathologic causes for colorless or pale urine

excessive intake of water, beer, and coffee

normal urine color ranges

pale yellow to yellow

which of the following refers to insufficient production of urine

oliguria

renal or urethral obstruction and renal failure can cause

anuria

which of the following measure the concentration of substance dissolve in urine

specific gravity

a urine odor characterized as "fruity" is present in

uncontrolled diabetes

increased specific gravity occurs in

urinary tract infection

which of the following is necessary when you are measuring specific gravity with a reagent strip

check the expiration date on the reagent strip container

which of the following would you include when measuring specific gravity with a refractometer

turn on the light and look into the eyepiece to measure refraction

intermediary products of fat and protein metabolism in the body are

ketone bodies

which of the following is a measure of the degree of acidity of alalinity of the urine

urinary pH

hematuria is

blood in the urine

the correct procedure for testing for ketones using a reagent strip includes

testing urine sample immediately after removing it from the refrigerator

a rare condition caused by transfusion reactions, malaria, drug reaction, snakebites, or severe burns is

hemoglobinuria

a genetically inherited disorder in which the body cannot properly metabolize the nutrient phenylalanine, resulting in mental retardation is

phenylketonuria

the presence of which of the following in the urine suggests a bacterial infection in the urinary tract

nitrite

the best urine specimen to test for nitrites is a

first morning specimen

which of the following are present in large amounts in the urine if inflammation is present

white blood cells

which if the following is important in processing a urine specimen for microscope examination of sediment

after the centrifuge stops, discard most of the supernatant from the tube

the liquid portion from the tube of urine that is discarded down the drain after the centrifuge stops is called the

supernatant

which of the following are frequently associated with vaginitis, urethritis, and prostatilits

yeast cells

which of the following is the most common urinary parasite?

trichomoniasis vaginalis

which of the following is commonly found in renal disease, in pregnant patients, or after heavy excersise

proteinuria

which of the following conditions is suspected when a reagent urine strip for human chorionic gonadotropin shows positive

pregnancy

which of the following is part of the medical assistants responsibility in collecting and testing urine and stool samples?

wear adequate personal protective equipment

if the physician suspects a patient has a protozoal or parasitic infection, what type of specimen may she order?

O&P specimen

When a physician suspects that a patient has a protozoal or parasitic infection, what is the minimum number of stool specimens that need to be examined

3

which of the following statements is true about patient collection of a stool sample?

the sample must not be contaminated with urine