Difficulty: Medium
Average Score: 72%
Simulated
A nurse is caring for a client who has an indwelling urinary catheter and a prescription for a urine specimen for culture and sensitivity. Which of the following actions should the nurse take?
Correct answer
A
Rationale
The correct action is to withdraw 3 to 5 mL of urine from the port because it ensures a sterile specimen collection without introducing contaminants. This method minimizes the risk of contamination and accurately reflects the true urine culture results. Option B is incorrect as inserting a needle into the needleless port is not recommended due to the risk of introducing infection. Option C is incorrect because wiping with sterile water is not sufficient for proper sterilization. Option D is not necessary for this specific task as sterile gloves are typically used during catheter insertion or manipulation, not urine specimen collection.