Which of these, if stated by a patient, indicates to the nurse correct understanding of how to obtain a midstream urine specimen for culture and sensitivity for a female patient? (Select all that apply.)
a. "A second-voided specimen is preferred."
b. "The labia should be kept separated while voiding."
c. "When urine starts to flow, collect it in the clean container provided."
d. "A 24-hour urine specimen is needed."
e. "The genitalia should be thoroughly cleaned with the towelettes provided."
f. "I should wash from the back to the front."
ANS: B, E
Female patients should be told to separate the labia with one hand and keep it separated while washing with provided towelettes and collecting the specimen to decrease the risk of contamination of the specimen. The first morning specimen is best, but collection can occur at any time. The container must be sterile for a culture. A 24-hour specimen is not needed. Women should wash from the front to the back.
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