NCLEX-PN® ExaminationSafety and Infection ControlHard
An LPN observes a new UAP (Unlicensed Assistive Personnel) preparing to empty a urinary drainage bag. The UAP is wearing clean gloves but is about to place the drainage bag spout directly into the specimen cup. Which instruction should the LPN provide to the UAP?
- ARecap the drainage bag spout immediately after emptying the bag.
- BAvoid touching the spout to the specimen cup or any other surface.
- CPlace a paper towel on the floor and then place the specimen cup on it.
- DAlways wear sterile gloves when emptying a urinary drainage bag.
Show answer & explanationAnswer & explanation
Correct answer: B. Avoid touching the spout to the specimen cup or any other surface.
Maintaining medical asepsis during urinary drainage bag emptying is crucial to prevent catheter-associated urinary tract infections (CAUTIs). The spout is considered contaminated, and touching it to the specimen cup or any other surface can spread bacteria. The UAP should hold the cup away and allow urine to flow without direct contact.
Why the other options are wrong
- A. Recapping is important, but preventing initial contamination during emptying is the immediate priority for asepsis.
- C. While a paper towel helps contain spills, it does not address the direct contamination issue of the spout.
- D. Clean gloves are appropriate for emptying a urinary drainage bag, not sterile gloves.
Urinary Drainage Bag Emptying Asepsis
Infection control practices employed when emptying a urinary drainage bag to prevent contamination of the drainage system and client, thereby reducing the risk of catheter-associated urinary tract infections (CAUTIs).
- Wear clean gloves.
- Do not allow the drainage spout to touch any surface.
- Use a separate, clean container for each client.
- Wipe spout with alcohol before recapping.
Memory trick: Don't Touch the Tap