A male patient has been admitted with a fever and malaise.The health care provider has ordered a clean catch midstream specimen for urinalysis on this patient.To collect the urine specimen,the nurse should instruct the patient to do which of the following?

A) Return to bed to obtain the specimen using a straight catheter insertion.
B) Use sterile gloves to cleanse his penis and collect the specimen in a sterile cup.
C) Ask the patient to void into a cup or urine collection container.
D) Cleanse his penis, begin his stream, and then void into a sterile cup.

Question

Jordan Graham · Accepted Answer

Final Answer : D, Explanation :  Male patients should be instructed to retract the foreskin,if not circumcised,and cleanse the meatus in a circular motion moving from the center of the meatus to the outside.After cleansing,have the patient open the sterile urine cup and caution the patient to not touch the inside of the cup.To collect the specimen,instruct the patient to start voiding in the toilet or other receptacle,stop the stream,position the sterile cup to collect urine and then continue voiding into the cup.When finished,the lid should be put on the cup and the specimen processed per laboratory instruction.A simple urinalysis does not require a sterile urine specimen or sample.Obtaining the specimen from a straight catheter would occur if there was an issue with urinary retention or the patient is unable to void.

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