A nurse is preparing to obtain a urine specimen from a 5-month-old infant using a urine collection bag. Which of the following actions should the nurse take?
Attach the bag first to the perineum, then to the skin above the urethra.
Remove the bag 1 hr after the infant voids.
Place absorbent cotton balls inside the bag.
Apply petroleum jelly to the perineum before applying the bag.
The Correct Answer is A
A. "Attach the bag first to the perineum, then to the skin above the urethra." Proper technique involves first securing the collection bag to the perineum to ensure a snug fit, then pressing it firmly to the surrounding skin to prevent leaks.
B. "Remove the bag 1 hr after the infant voids." The bag should be removed as soon as sufficient urine is collected to avoid contamination or leakage.
C. "Place absorbent cotton balls inside the bag." Absorbent materials would absorb the urine, making it difficult to retrieve an adequate sample for testing.
D. "Apply petroleum jelly to the perineum before applying the bag." Petroleum jelly could prevent the bag from adhering properly, leading to leakage or contamination.
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Related Questions
Correct Answer is C
Explanation
A. Perform gastric lavage with activated charcoal. Activated charcoal is most effective if given within 1 hour of ingestion. Since the ingestion occurred 4 hours ago, activated charcoal would not be beneficial.
B. Begin hemodialysis within the next 24 hr. Hemodialysis is only used in severe cases of acetaminophen toxicity with liver failure, which is not indicated at this stage.
C. Prepare to give oral N-acetylcysteine. N-acetylcysteine (NAC) is the antidote for acetaminophen overdose and should be administered as soon as possible within 8 to 10 hours after ingestion to prevent liver damage.
D. Send the child home on increased fluid intake. Acetaminophen overdose can cause severe liver toxicity, so treatment in a medical setting is required, not just increased fluids at home.
Correct Answer is B
Explanation
A. "The blood pressure medicine I'm taking will help to keep my insulin level low." This is incorrect. Blood pressure medications do not regulate insulin levels.
B. "I will increase my food intake before I exercise." Exercise can lower blood glucose levels, increasing the risk of hypoglycemia. Eating a snack before exercise helps prevent this.
C. "As long as I take my insulin, I can eat whatever I want." Proper dietary management is essential in diabetes to maintain stable blood glucose levels.
D. "As I get older, my sugar levels will automatically decrease." Blood glucose levels require active management and do not decrease automatically with age.
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