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Zorluk: OrtaReduction of Risk Potential

A practical nurse is preparing to collect a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter. Arrange the following steps for this procedure in the correct chronological sequence.

  1. 1Clamp the drainage tubing below the level of the specimen collection port.
  2. 2Scrub the needleless collection port with an antiseptic wipe.
  3. 3Attach a sterile syringe to the port and aspirate the accumulated urine.
  4. 4Transfer the aspirated urine from the syringe into a sterile specimen container.
  5. 5Unclamp the catheter drainage tubing to restore the normal flow of urine.

Cevap

The correct sequence is to first clamp the drainage tubing, then scrub the collection port, aspirate the urine with a sterile syringe, transfer it to a sterile container, and finally unclamp the drainage tubing.
The proper procedure for collecting a sterile urine specimen from a closed urinary drainage system minimizes the risk of introducing pathogens and ensures accurate laboratory results. Clamping the tube allows fresh urine to collect. Scrubbing the port maintains sterility. Aspirating and transferring the specimen completes the sterile collection, and unclamping the tube ensures client safety by restoring normal urinary drainage.

Adım Adım Çözüm

1
Clamp the drainage tubing.
Fresh urine accumulates near the collection port.
Urine collected from the drainage bag is not sterile; fresh urine must be collected directly from the catheter tubing.
2
Scrub the collection port with an antiseptic wipe.
The surface of the port is disinfected.
This prevents bacteria from being pushed into the catheter system or contaminating the sample during aspiration.
3
Aspirate urine using a sterile syringe.
The required volume of fresh urine is obtained.
A sterile syringe maintains the closed system while safely extracting the sample.
4
Transfer the urine to a sterile specimen container.
The specimen is safely secured for transport.
Maintaining the sterility of the container's interior ensures accurate laboratory culture results.
5
Unclamp the drainage tubing.
Continuous urine flow into the drainage bag is restored.
Prolonged clamping can cause severe bladder distention and increases the risk of urinary tract infection.

Anahtar Kavram

Sterile Specimen Collection and Risk Reduction
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