Snakes and Ladders: Urine Specimen Collection

Roll the dice!

Snakes and Ladders: Urine Specimen Collection

Instructions

What should the PCT do if a specimen is accidentally contaminated during collection? a) Discard the specimen and collect a new one b) Store it in a special container c) Continue the procedure without further action d) Disinfect the specimen and send it for testing

What should the PCT do after collecting a urine specimen? a) Document the amount and characteristics of the urine b) Keep the specimen in the patient's room until disposal c) Wait until the patient leaves before disposing of the specimen d) Immediately throw away the specimen

What is a key characteristic of a clean-catch (midstream) specimen? a) It includes all urine voided by the patient b) It collects urine from the middle of the stream c) It is collected first thing in the morning d) It is collected over a 24-hour period

A _____ ______ __________ is collected over a 24-hour period.

What should be done after collecting a urine specimen and placing it in a specimen bag? a) Store the specimen in a warm area b) Seal the specimen bag and send it to the laboratory promptly c) Keep the specimen on the patient's bedside table d) Freeze the specimen for later testing

When should the patient begin urinating during a clean-catch specimen collection? a) As soon as the specimen container is in place b) After urinating a small amount into the toilet c) After perineal care is completed d) When the PCT gives the signal

What should be placed near the patient's bed when collecting a 24-hour urine specimen? a) A sign to indicate the patient is collecting urine b) A sign indicating the patient is on bed rest c) A sign indicating the patient has a catheter d) A sign indicating the patient is fasting

What is the primary purpose of a 24-hour urine specimen? a) To check for hydration levels b) To test for certain chemicals and hormones c) To monitor blood pressure changes d) To measure urine volume

A _________ ________ ________ can be collected any time a person voids and does not require any special preparation.

For a clean-catch urine specimen, a male patient should be instructed to:a) Retract the foreskin if not circumcised and clean the tip of the glans penis in a circular motion. b) Wipe the genital area with a sterile wipe and collect the first part of the urine stream c) Collect the entire stream of urine into the container d) Wipe only the penis without retracting the foreskin

First void specimens may be collected using which of the following? (Select all that apply) a) Routine urine specimen b) Clean-catch urine specimen c) 24-hour urine specimen d) 36-hour urine specimen

Why is the “midstream” method recommended in a clean-catch urine collection?a) To reduce the chance of collecting contaminants from the urethra b) To obtain the highest volume of urine c) To ensure that the urine is fresh d) To ensure the urine is free from any medications

What is a "hat" used for in healthcare? a) To collect blood samples b) To collect and measure urine c) To place toilet paper in d) To protect the patient from germs

What is a key characteristic of a clean-catch (midstream) specimen? a) It includes all urine voided by the patient b) It collects urine from the middle of the stream c) It is collected first thing in the morning d) It is collected over a 24-hour period

What is another name for a clean-catch urine specimen?

How should the PCT dispose of extra urine after transferring it to a specimen container? a) Discard it in the toilet b) Store it for later use c) Give it back to the patient d) Leave it in the specimen container

For a _________ ________ _________, the perineal area is cleaned, the person voids some urine, and then urine is collected in a clean or sterile container.

During a clean-catch urine collection, the patient should be instructed to clean the genital area using: a) A sterile gauze pad b) A plain soap and water solution c) Towelettes pre-moistened with benzalkonium chloride (BZK) or chlorhexidine d) Tap water only

Which action is necessary after a 24-hour urine collection period has ended?a) Discard any remaining urine in the container b) Remove the sign and privacy measures c) Recheck the urine for contamination d) Continue collecting urine for another day

What should the PCT do if the patient is unable to urinate during the specimen collection procedure? a) Wait for the patient to try again later b) Attempt to manually stimulate the patient’s bladder c) Inform the nurse and wait for further instructions d) Discontinue the collection and report the issue

TRUE OR FALSE: During a 24-hour urine specimen collection, if any urine is accidentally thrown away or improperly stored, the collection will need to be started over.

How should the PCT ensure the cleanliness of the specimen container before use? a) Wash it with soap and water b) Sterilize it using an autoclave c) Open the container without touching the inside d) Rinse it with a disinfectant solution

How should the urine specimen container be handled after it is filled? a) Put the lid on and touch the inside of the container b) Put the lid on and wipe the outside of the container c) Leave it uncovered for drying d) Refrigerate the container immediately

TRUE OR FALSE:The first void specimen is collected when the patient first urinates (voids) in the morning.

What is the recommended method for cleaning the perineal area before collecting a clean-catch specimen from a female patient? a) Use a clean wipe for each stroke, wiping front to back b) Use a single wipe to clean the area thoroughly c) Use soap and water without wiping d) Clean the area with alcohol swabs

Which of the following should be avoided when collecting a urine specimen? a) Touching the inside of the lid and container b) Labeling the specimen properly c) Providing privacy for the patient d) Discarding toilet paper separately

If a patient is unable to collect a urine specimen due to a medical condition (e.g., urinary retention), which of the following may be used? a) Catheterization b) A blood draw c) A fecal specimen d) A saliva sample

What is the first action a PCT should take when starting a 24-hour urine specimen collection? a) Collect the first void of urine b) Have the patient empty their bladder and discard the first void of urine c) Label the specimen container d) Place the collection container in the fridge

How should the PCT assist the patient with perineal care during urine collection? a) Clean the patient after each void if necessary b) Only clean the patient if the specimen is contaminated c) Ask the patient to clean themselves d) Perform a full bed bath

When documenting a 24-hour urine collection, what important times must be included? a) The time the patient last voided before the collection started and the time the last void occurred at the end of the 24-hour period b) The time the specimen was collected and the time it was sent to the lab c) The exact time the patient woke up and went to sleep d) The time of the first void and the time the specimen was sealed in the bag

Box 55

When performing a clean-catch urine collection, why is it important to discard the initial urine stream?a) It helps clear the urinary tract of any residual bacteria or contaminants b) It ensures the sample has a higher concentration of substances c) It ensures the sample is not contaminated with medications d) It helps the urine cool down before collection

Why is it important to keep the 24-hour urine specimen refrigerated during the collection period? a) To prevent bacterial growth b) To maintain the pH of the urine c) To ensure the urine does not evaporate d) To keep the sample from freezing

What should the PCT do to maintain patient privacy during a urine specimen collection? a) Ensure the door is closed and a curtain or screen is drawn b) Allow the patient to collect the specimen in a public area c) Leave the door open for easy access d) Make sure only the healthcare team enters the room

How should a 24-hour urine specimen be stored? a) At room temperature b) In a refrigerator or on ice c) In the freezer d) In direct sunlight

After a 24-hour urine specimen collection, the urine specimen container must be labeled with what information? Name at least 3.

When collecting a 24-hour urine specimen, it is important to note that:a) Only the first morning void should be collected b) All urine produced over 24 hours should be saved c) Urine should be collected in separate containers at different times d) The urine should be analyzed every 2 hours

TRUE OR FALSE:The first urine of the day is discarded for a 24-hour urine sample because it has a higher concentration and lower pH than other urine samples, which can affect the results of the test.

TRUE OR FALSE:Those patients who can collect their own specimens are directed to urinate into a specimen cup until it is at least half full.

Which of the following is NOT a reason to request a routine urine specimen? a) To detect urinary tract infections (UTIs) b) To measure glucose levels in the urine c) To monitor kidney function d) To evaluate blood pressure levels

What type of urine specimen can be collected any time a patient voids? a) Clean-catch specimen b) Routine urine specimen c) First void urine specimen d) 36-hour urine specimen

What is a key consideration when performing a 24-hour urine collection? a) Only urine from the last 12 hours is important b) The first urine voided should be discarded to ensure an accurate sample c) The specimen must be kept at room temperature throughout the collection d) Only the urine passed in the morning hours needs to be collected

What is the purpose of labeling the urine specimen container? a) To prevent contamination b) To ensure proper identification of the specimen c) To mark the specimen as sterile d) To make the specimen appear clean

SNAKES

Ladders

Ladders

SNAKES

If the player lands on a square where the tail of a snake starts, they go down to a lower square where the headis located.

If the player falls on the bottom of a ladder, they move up to the top square where the ladder ends.

INSTRUCTIONS

Players start with a token - which represents each of them - in the initial square and take turns rolling the die. The tokens move according to the numbering on the board, in ascending order. If, at the end of a move, a player lands on a square where a ladder begins, they move up it to the square where it ends. If, on the other hand, they land on a square where a snake's tail begins, they move down it to the square where its head ends. If a player rolls a 6, they can move twice in a single turn. If a player rolls three consecutive 6's, they must return to the initial square and cannot move their token until they roll a 6 again. The player who reaches the final square is the winner. There is a variation where, if a player is six or fewer squares away from the end, they must roll precisely the number needed to reach it. If the number rolled exceeds the number of remaining squares, the player cannot move.

What should be done if the patient accidentally discards urine during a 24-hour urine specimen collection? a) Continue collecting urine without worry b) Begin the collection process again c) Keep the specimen at room temperature d) Freeze the remaining urine