The client with an in-dwelling Foley catheter requires a urine specimen for culture and sensitivity. Which technique should the nurse use to obtain the specimen?
A. Clamp the catheter close to the distal end (where it connects to the drainage sys-tem) for 2 hours. Have the client void around the catheter into a sterile specimen container.
B. Empty the residual urine into the collection bag completely and discard. Collect the urine that drains into the bag during the next hour.
C. Clamp the catheter close to the distal end for 15 minutes. Cleanse the aspiration site on the catheter with iodine. Draw up a 2-mL specimen with a sterile needle and syringe.
D. Wipe the distal end of the catheter with an alcohol sponge. Separate the distal end of the catheter from the drainage collection tube and allow 5 to 10 mL of fresh urine to drain into a sterile container.
C
Urine from the collection bag and the drainage tubing is considered to be contaminated. The ca-theter and drainage system unit should not be separated. The client should never attempt to void around the catheter.
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