The nurse asks a patient to provide a urine sample for a urine culture. When the nurse returns 3 hours later, the patient says the urine sample has been sitting by the bed for the last 2 hours. Which action by the nurse is appropriate?

Correct

  • Send it to the laboratory immediately
  • Dump the sample and ask the patient to provide a fresh specimen 
  • Refrigerate the sample
  • Carry the sample to the laboratory by hand

Rationale

A urine sample that has been at room temperature for more than one hour should be discarded and a fresh sample obtained. Laboratory tests on such a sample may give inaccurate results due to bacterial growth and chemical reactions with the air. Refrigerating the sample is helpful soon after it is obtained, but will not do any good at this point. Sending an old sample to the lab or carrying it by hand will both lead to inaccurate results.

  • Category: Safety and Infection Control
  • Difficulty: 6
  • Tags: Assessment Elimination Health Care Quality Infection Laboratory Studies

Question 46 of 75

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