Which of the following information should be included in the chain of custody following a blood alcohol testing procedure?
The timeline of the individual prior to specimen collection
The identity of each person who handles the specimen
The physical and mental status of the individual before and after
The condition of the specimen every hour
The Correct Answer is B
Choice A Reason:
The timeline of the individual prior to specimen collection is important for context but is not typically part of the chain of custody documentation. The chain of custody focuses on the handling of the specimen rather than the activities of the individual before the collection.
Choice B Reason:
The identity of each person who handles the specimen is a critical element of the chain of custody. This information ensures that the specimen can be tracked at every stage from collection to analysis, and any potential tampering can be identified and addressed.
Choice C Reason:
While the physical and mental status of the individual may be noted in medical records or police reports, it is not a standard part of the chain of custody for a blood alcohol test. The chain of custody's purpose is to track the specimen, not the condition of the individual.
Choice D Reason:
The condition of the specimen every hour is not required in the chain of custody documentation. What is necessary is the documentation of any changes in the condition of the specimen that could affect the integrity of the results, such as temperature excursions or signs of tampering.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is A
Explanation
Choice A reason:
The date of specimen collection is crucial for a laboratory report as it provides the context for the test results. It helps in assessing the timeliness and relevance of the results, especially when monitoring conditions that can change rapidly over time.
Choice B reason:
While the phlebotomist's initials may be recorded as part of the internal process for tracking specimen collection, they are not typically included in the patient's laboratory report. The focus of the report is on the patient and the test results, rather than on the personnel who collected the sample.
Choice C reason:
Patient diagnosis is not usually included in a laboratory report because the purpose of the report is to provide test results that may inform a diagnosis. The diagnosis is made by the healthcare provider based on the test results, along with other clinical information.
Choice D reason:
Values of previous tests may be referenced in a patient's medical record but are not a required element on a laboratory report. Each report typically presents the results of the current tests only. Comparisons to previous values, if needed, are made by the healthcare provider.
Correct Answer is A
Explanation
Choice A reason:
The specimen source is critical information that must be included with a non-blood specimen delivered to the laboratory. It identifies the origin of the specimen, such as urine, cerebrospinal fluid, or a swab from a specific site. This information is essential for the laboratory to process and analyze the specimen appropriately.
Choice B reason:
While the specimen color may be noted for certain types of specimens, it is not a required piece of information for all non-blood specimens. Color can be an important characteristic for some analyses, but it is not as critical as the specimen source for laboratory processing.
Choice C reason:
Specimen temperature is not typically documented upon delivery to the laboratory unless the specimen requires temperature control during transport, such as certain microbiological cultures. In general, the temperature at the time of collection is not a standard requirement.
Choice D reason:
Specimen clarity might be relevant for specific tests, such as urine analysis, where clarity can indicate the presence of substances like proteins or crystals. However, it is not a universally required piece of information for all non-blood specimens.
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