The nurse is instructing a female client how to cleanse the perineum before collecting a clean catch urine specimen for culture and sensitivity. What should the nurse instruct this client to do?
1. Clean the perineal area using a circular motion.
2. Use all towlettes provided.
3. Use each towlette once, and discard.
4. Clean the perineal area from back to front.
5. Clean the perineal area from front to back.
Correct Answer: 2,3,5
Rationale 1: Cleaning the perineal area using a circular motion would be appropriate for a male client.
Rationale 2: To cleanse the perineum before collecting a clean catch urine specimen for culture and sensitivity for a female client, the client should be instructed to use all towlettes provided.
Rationale 3: To cleanse the perineum before collecting a clean catch urine specimen for culture and sensitivity for a female client, the client should be instructed to use each towlette once and discard.
Rationale 4: Cleaning the perineal area from back to front introduces bacteria from the anal region towards the perineum.
Rationale 5: To cleanse the perineum before collecting a clean catch urine specimen for culture and sensitivity for a female client, the client should be instructed to clean the perineal area from front to back.
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