A patient with an ileal conduit requires a urine specimen for culture.Which procedure should a nurse use to collect this specimen?
A)Cleanse the opening of the urinary pouch with alcohol and then transfer the urine from the pouch into a sterile specimen cup.
B)Collect urine by removing the pouch and performing a sterile catheterization through the stoma.
C)Place the patient in a side-lying position, remove the pouch, cleanse the area around the stoma with povidone-iodine, and collect the urine in a sterile specimen cup.
D)Remove the pouch and replace with a sterile device; once urine has accumulated, remove pouch with urine and send to the lab.

Question

Quizplus · Accepted Answer

Collecting a urine specimen from an ileal conduit for culture requires a sterile technique to avoid contamination. The most accurate method to ensure a sterile sample is by performing a sterile catheterization through the stoma after removing the pouch. This method minimizes the risk of introducing external bacteria into the sample, which could affect the culture results.

A Patient with an Ileal Conduit Requires a Urine Specimen