A nurse is preparing to collect a urine specimen from a female infant using a urine collection bag.
Which of the following actions should the nurse take?
Position the opening of the bag over the urethra and the anus.
Place a snug-fitting diaper over the drainage bag.
Apply lidocaine gel to the perineum before attaching the bag.
Stretch the perineum taut when applying the bag.
The Correct Answer is D
A. Incorrect because the bag should only cover the urethral opening. Covering the anus risks contamination of the urine sample.
B. Incorrect because placing a diaper over the bag can dislodge it or prevent proper adhesion. Instead, the bag should remain exposed to adhere well.
C. Incorrect because lidocaine is unnecessary; applying topical anesthetic is not required for urine collection with a bag.
D. When collecting a urine specimen from a female infant using a urine collection bag, the nurse should ensure the perineal area is clean and the skin is dry. Stretching the perineum taut helps the bag adhere properly to the skin around the urethral opening, preventing leaks and contamination of the specimen.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The nurse should prepare the toddler for nasotracheal intubation first because the toddler is experiencing severe dyspnea and drooling, which are signs of airway obstruction.
Nasotracheal intubation will help to secure the toddler’s airway and improve their breathing.
Choice A is wrong because administering an antibiotic is not the priority intervention for a toddler with airway obstruction.
Choice B is wrong because obtaining a blood culture is not the priority intervention for a toddler with airway obstruction.
Choice C is wrong because inserting an IV catheter is not the priority intervention for a toddler with airway obstruction.
Correct Answer is B
Explanation
Chest physiotherapy treatments aim to improve ventilation and mucociliary clearance by removing tenacious and obstructing secretions in patients with cystic fibrosis.
Increased expectoration indicates that the therapy has been effective in clearing secretions.
Choice A is wrong because increased urine output is not an indication of the effectiveness of chest physiotherapy.
Choice C is wrong because reduced pain is not a specific indication of the effectiveness of chest physiotherapy.
Choice D is wrong because increased heart rate is not an indication of the effectiveness of chest physiotherapy.
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