The nurse evaluates the urinalysis (UA)of a female patient with an indwelling urinary catheter.The UA report shows gross contamination of the urine.Rank the nursing interventions in order,beginning with the first intervention the nurse should implement.

Question

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Gross contamination of a urine specimen is a costly error because contaminated urine is unsuitable for evaluation.The nurse responds to the report of contamination by determining how long the catheter has been in place; increased duration increases the risk of a UTI from fecal contamination and can affect subsequent nursing interventions.The second intervention is providing catheter care.Regardless of the cause of the specimen contamination,catheter care is a suitable nursing intervention because it decreases the colony count on the catheter.Third,the nurse progresses to perineal care.This intervention follows catheter care because of the principle of asepsis regarding working from the least contaminated to the most contaminated area.Finally,the nurse obtains another urine specimen from a sterile port.Although the catheter has been washed,the nurse rubs the port with alcohol and withdraws urine with a sterile needle and syringe to prevent the introduction of contaminants into the specimen.

The Nurse Evaluates the Urinalysis (UA)of a Female Patient with an Indwelling