Basic Nursing SkillsQuestion 92 of 200

When collecting a clean-catch urine specimen from a female resident, the CNA should:

a.Use the toilet without cleaning first
b.Collect the first stream of urine
c.Cleanse the perineum front-to-back with antiseptic wipes, have the resident begin urinating into the toilet, then catch a midstream sample in a sterile container, then finish into the toilet; cap and label
d.Use a non-sterile cup

Explanation

Clean-catch midstream technique: cleanse the meatus front-to-back to reduce skin/fecal contaminants, void initial stream into the toilet to flush the distal urethra, catch a 30-60 mL midstream sample in a sterile container, finish in the toilet, cap, label, and send promptly or refrigerate. No cleaning (a), first-stream collection (b), or non-sterile cup (d) produce contaminated specimens that lead to misdiagnosis and unnecessary antibiotic treatment.

Law Reference: Fundamentals; specimen collection

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