The nurse is instructing a female client how to collect a clean catch urine specimen. Place in order the steps indicating that client teaching has been effective. All options must be used. A)Cleanses vulva from front to back with single-use antiseptic towelettes B)Initiates urinary stream before passing container into stream for collection C)Performs hand hygiene and removes container lid, with sterile side placed upward D)Removes specimen container from stream before stopping urinary flow E)Spreads labia using index finger and thumb of nondominant hand

Question

Quizplus · Accepted Answer

A clean catch urine specimen is commonly performed in clients requiring urinalysis. The correct collection method for a female client is as follows: Perform hand hygiene and open the specimen container, leaving the sterile side of the collection lid positioned upward to prevent contamination. Spread the labia using the index finger and the thumb of the nondominant hand so that the specimen cup can be held with the dominant hand. Cleanse the vulva in a front-to-back motion with provided antiseptic wipes, using a new towelette with each wipe to prevent contamination. Initiate the urinary stream to flush any remaining microorganisms from the urethral meatus before passing the container into the stream for the collection of 30-60 mL of urine. Remove the specimen container from the stream before the urinary flow ends and the labia are released to prevent contamination. Replace the sterile cap without contaminating it and repeat hand hygiene. Educational objective: A female client performs a clean catch urine specimen by completing hand hygiene and opening the specimen container, spreading the labia using the index finger and the thumb of the nondominant hand, and cleansing the vulva in a front-to-back motion. The client then initiates a urine stream before introducing the container midstream for urine collection. The container is removed when well filled (30-60 mL) and before urinary flow ends.

The Nurse Is Instructing a Female Client How to Collect