CNA Certification (Written Exam)Basic Nursing SkillsEasy

A nurse aide is asked to obtain a routine urine specimen from a resident. Which of the following is the most appropriate action for the nurse aide to take?

  1. AObtain the specimen from the drainage bag of an indwelling catheter.
  2. BAsk the resident to void directly into the specimen cup.
  3. CCollect the first urine voided in the morning.
  4. DInstruct the resident to void into a clean bedpan or urinal.
Show answer & explanation

Correct answer: D. Instruct the resident to void into a clean bedpan or urinal.

For a routine urine specimen, the resident should void into a clean collection device, from which the nurse aide can then transfer the specimen into a labeled cup. This ensures proper collection without contamination.

Why the other options are wrong

  • A. Collecting from a catheter drainage bag is incorrect as the urine would be old and potentially contaminated. A fresh specimen should be obtained directly from the catheter port if an indwelling catheter is present, not a routine specimen collection method.
  • B. Asking the resident to void directly into the small specimen cup can lead to spillage and contamination, making it an inappropriate method for routine collection.
  • C. While a first morning void is often preferred for certain tests, for a routine specimen, the primary concern is proper collection technique, not necessarily timing.

Routine Urine Specimen Collection

Collecting a urine sample for general analysis, typically by having the resident void into a clean collection device before transferring to a specimen cup.

  • Use a clean bedpan or urinal.
  • Label the specimen cup correctly.
  • Do not collect from a catheter drainage bag.

Memory trick: Routine Urination for Reporting Results.

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