Which of the following statements, if made by the patient regarding a midstream (clean-voided) urine specimen, indicate that further teaching is required? (Select all that apply.)

Male patient: "I will clean myself by using the antiseptic towelette, starting at the center going outward in a circular motion."

"I should first start urinating into the toilet, then use the sterile specimen cup to collect about 3 to 4 ounces of urine, and finish urinating into the toilet."

"I should wash myself with soap and water, and urinate into the specimen cup."

"I should urinate 30 to 60 mL into a cup and then finish urinating in the toilet.

Female patient: "I will clean myself by using the cotton balls and antiseptic solution. I will cleanse moving from front to back using a fresh swab each time, repeating motion 3 times.”

"I should avoid touching the inside of the specimen cup or lid."