The nurse is instructing a female client on how to cleanse the perineu

The nurse is instructing a female client on how to cleanse the perineum before collecting a clean catch urine specimen for culture and sensitivity. What should the nurse instruct this client to do?

1. Clean the perineal area using a circular motion.
2. Use all towelettes provided.
3. Use each towelette once, and discard.
4. Clean the perineal area from back to front.
5. Clean the perineal area from front to back.

 

ANSWER

Correct Answer: 2, 3, 5
Rationale 1: Cleaning the perineal area using a circular motion would be appropriate for a male client.
Rationale 2: To cleanse the perineum before collecting a clean catch urine specimen for culture and sensitivity for a female client, the client should be instructed to use all towelettes provided.
Rationale 3: To cleanse the perineum before collecting a clean catch urine specimen for culture and sensitivity for a female client, the client should be instructed to use each towelette once and discard.
Rationale 4: Cleaning the perineal area from back to front introduces bacteria from the anal region toward the perineum.
Rationale 5: To cleanse the perineum before collecting a clean catch urine specimen for culture and sensitivity for a female client, the client should be instructed to clean the perineal area from front to back.

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