A nurse is collecting a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?
Remove 45 mL of urine from the catheter with a syringe.
Clamp the catheter tubing for 60 min.
Clamp the catheter tubing below the needleless port
Place the specimen in a clean specimen cup.
The Correct Answer is A
Choice A Reason:
Removing 45 mL of urine from the catheter with a syringe is correct. To obtain a sterile urine specimen from an indwelling urinary catheter, the nurse should use a sterile syringe to aspirate a specific volume of urine from the catheter tubing. This method ensures minimal contamination and an accurate representation of the urine in the bladder at that moment.
Choice B Reason:
Clamping the catheter tubing for 60 min is incorrect.
Clamping the catheter tubing can lead to potential complications such as urinary retention, backflow of urine, or discomfort for the client. It's not a standard practice and could compromise the client's care.
Choice C Reason:
Clamping the catheter tubing below the needleless port is incorrect.
Clamping the catheter tubing can disrupt the urinary drainage and potentially cause issues like urinary stasis or increase the risk of infection. It's not an appropriate method for collecting a sterile urine specimen.
Choice D Reason:
Place the specimen in a clean specimen cup is incorrect. While placing the specimen in a clean cup is necessary, the method of collecting a urine sample from an indwelling catheter involves using a sterile syringe to aspirate a specific volume of urine directly from the catheter tubing, rather than pouring it into a cup from the collection bag.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
"I will rinse the contaminants from a bedpan with hot water." Is incorrect. Rinsing contaminants with hot water might not be sufficient for proper disinfection and could potentially contribute to the spread of infection. Proper disinfection methods involve using appropriate cleaning agents or disinfectants.
Choice B Reason:
"I will double-bag a client's linens each day." Is incorrect. While containing soiled linens is important, double-bagging might not necessarily be a standard practice for managing linens unless there's a specific protocol or contamination issue. It might not be directly related to infection control principles.
Choice C Reason:
"I will wear sterile gloves when bathing a client who is incontinent." Is incorrect. Wearing sterile gloves for routine bathing of an incontinent client is not typically necessary. Using clean gloves or standard precautions would generally be appropriate unless there's a specific medical procedure requiring sterile technique.
Choice D Reason:
"I will use disinfectant to clean the blood pressure cuff after use on a client." Is correct. Using a disinfectant to clean equipment, especially after use on a client, is a key infec
Correct Answer is B
No explanation
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