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Zorluk: OrtaReduction of Risk Potential

A licensed practical nurse (LPN) is assigned to obtain a sterile urine culture specimen from a client who has a continuous indwelling urinary catheter. To ensure accurate diagnostic results and reduce the risk of client complications, arrange the following procedural steps in the correct chronological sequence. All steps must be used.

  1. 1Clamp the drainage tubing just below the collection port for 15 to 30 minutes.
  2. 2Scrub the catheter aspiration port with an approved antiseptic wipe.
  3. 3Attach a sterile syringe to the aspiration port and withdraw the required volume of urine.
  4. 4Transfer the aspirated urine into a sterile specimen container without contaminating the rim.
  5. 5Unclamp the drainage tubing to restore the free flow of urine.

Cevap

The correct sequence is to first clamp the tubing to collect fresh urine, then scrub the port with an antiseptic, aspirate the urine with a sterile syringe, transfer it to a sterile container, and finally unclamp the tubing to prevent bladder distension.
To safely collect a sterile urine specimen from an indwelling catheter, the LPN must first clamp the tubing to allow fresh urine to collect. Once collected, the port must be disinfected to prevent infection. The urine is then aspirated with a sterile syringe and safely transferred to a sterile cup. Finally, unclamping the tubing is critical to prevent bladder distension and associated complications.

Adım Adım Çözüm

1
Clamp the drainage tubing just below the collection port for 15 to 30 minutes.
Fresh urine accumulates in the tubing above the clamp.
Urine collected from the drainage bag is not sterile and cannot be used for a culture. Clamping ensures a fresh sample is available at the port.
2
Scrub the catheter aspiration port with an approved antiseptic wipe.
The port surface is disinfected.
Cleaning the port eliminates surface pathogens, reducing the risk of introducing bacteria into the closed urinary system (CAUTI).
3
Attach a sterile syringe to the aspiration port and withdraw the required volume of urine.
A sterile specimen is safely extracted from the tubing.
Using a sterile syringe maintains the sterility of both the specimen and the closed drainage system.
4
Transfer the aspirated urine into a sterile specimen container without contaminating the rim.
The specimen is secured in the transport container.
Preventing contact between the syringe and the rim of the cup ensures the culture will only grow organisms present in the client's urine.
5
Unclamp the drainage tubing to restore the free flow of urine.
Continuous urinary drainage resumes.
Failing to unclamp the tubing is a significant risk factor that can lead to urinary retention, severe bladder distension, and retrograde flow to the kidneys.

Anahtar Kavram

Reduction of Risk Potential
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