Specimen Collection: Midstream (Clean-Voided)

A patient is being taught how to obtain a midstream urine specimen. Which statement reflects the patient understands how to collect the urine specimen?

"I start urinating and then pass the container into the stream to collect the urine."

A midstream urine specimen is ordered for a female patient before surgery. Which is the correct procedure for cleansing the urethral area before specimen collection?

Cleanse the area with three separate antiseptic wipes using a front-to-back motion.

When instructing a patient regarding how to collect a midstream urine specimen, the nurse use should use which statement?

Initiate urination and then pass the container into the stream to collect a midstream specimen.

Which incident would require a second urine specimen because of likely contamination of the first one?

The patient states that she had a piece of toilet paper in the container but was able to dump it back out.

A female child who is 20 months of age with a fever has an order for a urine culture. Which statement describes how the nurse should collect the urine specimen?

Obtain consent for a suprapubic aspiration specimen.

A midstream urine specimen is sent to the laboratory. A health care team member receives a call from the laboratory stating that the urine specimen was not labeled. What should the health care team member do next?

Prepare to obtain a new urine specimen from the patient.

Which method is the correct way to instruct an uncircumcised male patient how to collect a midstream urine specimen?

Retract the foreskin before cleansing.

When instructing a female patient on collecting a midstream urine specimen, which step should the patient be instructed to perform first?

Spread the labia minora with the thumb and forefinger.

Why is it important for the urine culture collection to be a midstream?

The initial stream flushes the urethra of possible external bacteria.

A health care team member needs to obtain a midstream urine specimen from a patient. Which action should the health care team member take next after entering the patient's room and donning PPE?

Verify the correct patient using two identifiers.