The client has an indwelling catheter. How should the nurse obtain a sterile urine specimen?
a. Disconnect the catheter from the drainage tubing.
b. Withdraw urine from a urinometer.
c. Open the drainage bag and remove urine.
d. Use a needle to withdraw urine from the catheter port.
D
A sterile specimen can be obtained through the special port found on the side of the in-dwelling catheter. The nurse clamps the tubing below the port, allowing fresh, uncontaminated urine to collect in the tube. After the nurse wipes the port with an anti-microbial swab, a sterile syringe needle is inserted, and at least 3 to 5 mL of urine is withdrawn. With sterile technique, the nurse transfers the urine to a sterile container.
The catheter should not be disconnected from the drainage tubing. The system should remain a closed system to prevent infection.
A urinometer is a device used to determine the specific gravity of urine. It is not a sterile device and should not be used for obtaining urine for a sterile urine specimen.
Urine should not be obtained from a drainage bag for a specimen, as the urine would not be fresh and would be contaminated from microorganisms in the drainage bag.
You might also like to view...
A nurse assesses a client who is hospitalized for botulism. The client's vital signs are temperature: 99.8 ° F (37.6 ° C), heart rate: 100 beats/min, respiratory rate: 10 breaths/min, and blood pressure: 100/62 mm Hg. Which action should the nurse take?
a. Decrease stimulation and allow the client to rest. b. Stay with the client while another nurse calls the provider. c. Increase the client's intravenous fluid replacement rate. d. Check the client's blood glucose and administer orange juice.
A nurse teaches a female patient to follow which principle for self-catheterization?
A) Assume a supine position for self-catheterization. B) Use a clean technique at home to catheterize. C) Insert the catheter 1 to 2 inches into the urethra. D) Self-catheterize every 2 hours at home.
A patient being assessed by the physician states, "I wet my pants every time I cough." The nurse recognizes this as which type of incontinence?
a. Reflex b. Overflow c. Urge d. Stress
Which of the following statements about the International Council of Nurses (ICN) are accurate? Select all that apply
A) ICN represents the global interests and concerns of the nursing profession. B) The mission of ICN is to maintain the role of nursing in health care through its global voice. C) ICN has, as members, nursing organizations from 130 countries representing 13 million nurses. D) ICN is a governmental organization. E) ICN employs Regional Nursing Advisors.