Which technique should the nurse use to cleanse the perineum of a female patient during urinary catheter insertion?
a. Rinse the perineum with warm antiseptic solution.
b. Swab the perineum 3 times from the anus to the urinary meatus.
c. Use the nondominant hand to keep the labia spread apart continuously.
d. Use the nondominant hand to cleanse from the urinary meatus to the rectum.
C
The nurse uses the nondominant hand to spread apart the labia and maintain the position until the catheter is in place; once the nurse contaminates the nondominant hand by touching the perineum, he or she cannot use that hand to manipulate sterile equipment. Rinsing the perineum is imprac-tical and not necessary. To prevent infection, the nurse uses the dominant hand to cleanse from the urinary meatus to the rectum in one motion.
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