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i
shf
orNur
singMi
dwi
fer
y

Topi
c13

TAKI
NGLABSAMPLES
I
nst
ruct
ionalobj
ect
ive
Thest
udent
sar
eexpect
edt
obeabl
e:

 t
oactoutpr
act
iceandconv
ersat
ionoft
aki
ngl
absampl
es,
and

 t
owr
it
eanur
singdocument
ati
onaf
tert
aki
ngl
absampl
es.

NURSI
NGNOTE
Taking blood sampl esand ot herbi ologicalspeci mens,such as sput um or
phlegm,ur ine,and f eces,i s cruci alt ot he under standing,prev enti
on,and
treat
mentofdi sease.(1) Howev er,f rom t heclient’sper specti
ve,itcanal sobe
painful
,unner v
ing,fri
ghtening,andi nconv enient.
Thesampl esabov ear ethoset hatar enat urall
yel i
minatedfrom t hebody .
Thecl i
entshoul dbeabl et o collectt hesesampl est hemsel v
es.(2)Howev er,
youngchi l
dr enorcl i
entswi thphy sicaldi sabil
itiesmayneedassi stancef rom
nurses.
Thesesampl esar eusual lypai nlesst o col l
ect,butcansomet imesbe
awkwar dorunpl easantfort hecl i
entbecauset heyi nvolveeliminati
onofbodi l
y
wastesandi nvolvebodypar tsandf unct i
onspeopl epr efertokeeppr ivate.(
3)I n
thosecases, nursescanpl ayani mpor tantroleinhel pi
ngt hem tofeel atease. (
4)

1.Whyi
staki
ngbl
oodsampl
esi
mpor
tant
?
2.Howshoul
dcl
i
entcol
l
ectnat
ural
l
y-el
i
minat
edsampl
es?
3.Whycancol
l
ect
ingl
absampl
esbeawkwar
dandunpl
easantf
ort
hecl
i
ent
?
4.Whatcannur
sesdoi
fcl
i
ent
sfeel
awkwar
dorunpl
easant
?

Rel
atedVocabul
ari
es
Di
rect
ion.Thefoll
owingsaret
hevocabul
ari
esr
elat
edtot
aki
nglabsampl
es.Pract
ice
t
hepronunciat
ion.Complet
ethebl
anksofsomewordswi
ththepr
operpr
onunciat
ion.
A.NeededEqui
pment

1
 Sy
ringe Tour
niquet Cot
ton
/
səˈ
r
inj
/ /
ˈt
ərnəkət
/ /
ˈkät
n/

Jar
um sunt
ik Pengi
kat Kapas

Cont
ainer BandAi
d Oxal
ateTubes
/
kənˈ
t
ānər
/ /ˈ
bandād/ /ˈ
äksəˌ
l
ātt
(y)
o͞ob/

Wadah Pembal
utLuka t
abungoksal
at

B.LabSampl
es
1.Bl
ood:
dar
ah
2.Phl
egm :
dahak
3.Sput
um :
dahak
4.Ur
ine :
airseni
5.Feces :
kot
oran

C.Ver
bs
1.St
ore:
meny
impan
2.Spi
t :
mel
udah
3.Cough:
bat
uk
4.Go :
per
gi

Usef
ulExpr
essi
ons

2
Di
rect
ion.Studyt
hefoll
owingusefulexpr
essi
onswhent akinglabsamplesand
pr
acti
cethem.Compl
etesomeblankswit
hanexpressi
onoftherel
atedst
ep.
A.Gr
eet
ing

 Hi
,Paul
a.Howar
eyoudoi
ngt
oday
?

 Goodmor
ning,
Maam.

B.Sel
f-
Int
roduct
ion

 Mynamei
sNancy
.Iam ami
dwi
fef
rom Har
perCol
l
ege.

 Iam Shant
i.Iwi
l
ltakecar
eofy
out
oday
.

 Cany
out
ell
mey
ournameandbi
rt
hdat
e?

C.Expl
aini
ngwhaty
ouar
egoi
ngt
odo

 Iam her
eto.
..
.  Iam heret
otake y
ourbl
ood
sampl
e.

 Iam goi
ngt
otakey
oursput
um.
 Iam goi
ngt
o..
..
 I
tisti
mef ormet
oappl
yThi
s
 I
tist
imef
ormet
o..
..
Ar
oundYourAr
m
 Ineedt
o..
..
 Ineedt
otakey
ourphl
egm.
 Ij
ustwantt
o..
..
 Ijuswanttospityourphl
egm
i
ntothi
scont
ainer

D.Gi
vi
ngquest
ions

 Doy
ou.
..
..
.?  Doy
ouhav
eanyal
l
ergi
es?

 Stor
e y our ur
ine i
nto t
his
cont
ainer
.
E.Gi
vi
ngi
nst
ruct
ions
 Spi
tyourphl
egm,
please.
 (
V1).
..
..
..
..
..
.
 Gi
vemey
ourr
ightar
m,pl
ease.

 Woul
dyour
oll
yoursl
eev
eup?

 Cany
ougot
othel
avat
ory
?

 Would/Could/
Can y
ou
..
..
..
..
..
..
..
.?

3
F.Gi
vi
ngcaut
ionar
ywhent
aki
ngbl
oodsampl
e

 Don’
twor
ry.Thi
swi
l
lgi
vej
ustal
i
ttl
epai
n.

 Youmayf
eel
abi
tuncomf
ort
abl
e.

Li
steni
ngExer
cise
Di
rect
ion.Li
stenandcompl
etet
heconv
ersat
ionsbel
ow.
Conv
ersat
ion1

Nurse :Goodmor ning,Mr s.Johnson.

Mrs.Johnson :Goodmor ning.
Nurse :Didyousleepwel l
lastnight
?
Mrs.Johnson :Well,
Ididn’tsleepwell
.I’
vegotatemper at
ure.
Nurse :Okay ,Mrs.Johnson.Now Ineed( 1)(
tot akeabl oodsampl
e)t
o
confi
rmt hediagnosi s.
Mrs.Johnson :Sure.
Nurse :Letme( 2)(applyThi sAroundYourArm)
You’l
lfeelabituncomf or
tabl
ewiththi
sinj
ect
ion.
Okay,fi
ne.That’sit.

Conv
ersat
ion2

Nurse :Goodmor ning,Mrs.Johnson.

Mrs.Johnson :Yes,Nur se.Goodmor ni
ng.
Nurse :Didyousl eepwel ll
astni
ght?
Mrs.Johnson :Wel l
,Iwokeupmanyt imes.Ihav
eanastybadcough.
Nurse :Okay,Mr s.Johnson.NowIneed( 1)(
totakeasampl
eofyourphl
egm)
Mrs.Johnson :Sure.
Nurse :Just(2)(spityourphlegm i
ntothi
scontainer
)

Communi
cat
ionExer
cise
Di
rect
ion.Chooseapairandwr
iteacomplet
econv ersat
ionontheactsoftaki
ngone
oflabsamples.Youcanuset heusefulexpressi
onsabov e.Then,practi
ceand
pr
esentyourcommunicati
onpr
acti
ce.Donotreadaloudt het
ext.
Nur
singDocument
ati
on
Di
rect
ion.Wr
it
eanur
singdocument
ati
onaf
tert
aki
ngl
absampl
es.Youcanr
efert
o

4
t
hequest
ionsbel
owf
orj
ott
ingdownwhaty
ouhav
etowr
it
e.
1.Ment
iont
hepat
ient
’si
dent
it
y.
2.Whatspeci
menst
aken?
3.Howi
sthel
abor
ator
ytestr
esul
t?
4.Ment
iont
henur
se’
sname.
5.Ment
iont
heday
,dat
e,andt
imeoft
hei
nject
ion.
Exampl
e
Pat
ientI
dent
it
y
Name:Mr
s.Sandr
aJohnson Age:50y
.o.

Labor
ator
yTestResul
ts
Sampl
e:Ur
ine
Color
less;ket
ones-negati
ve;pH7.Speci
fi
cgr
avi
ty-
1.019.pr
otei
n-negat
ivef
or
occul
tblood.Bil
e-negati
ve.

Sampl
e:Feces
Guai
acTest
:posi
ti
ve

Sampl
e:Bl
ood
Na :
141mEq/
L
K :
3.7mEq/
L
Cl :
105mEq/
L
CO2 :
26mM/
L
Ca :
9mg/
dl
BUN :
9mg/
dl
Cr
eat
ini
ne :
0.7mg/
dl
Gl
ucose :
104mg/
dl
Tr
igl
ycer
ides :
118mg/
dl
Hct :
34.
8%
Hgb :
12.
0g/
100ml

5
WBC :
7.6103/
mm3
RBC :
3.9106/
mm3
Pl
akel
etcount :
250.
000/
mm3
Al
kPhos :
26U/
L
Ser
um Al
bumi
n :
3.2g/
100ml
Ser
um Cobal
ami
n:15pg/
ml
Fol
i
cAci
d :
2.4ng/
ml

Ti
me:06.
00a.
m.

Day
,dat
e:Sat
urday
,Mar
ch03,
2021

Nur
se:Amber