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The nurse receives an order from the provider to obtain a sterile urine specimen from an eight-month-old infant to rule out a urinary tract infection (UTI), Which is the best way to obtain the sterile urine specimen?

A.

Carefully cleanse the perineum from front to back, and apply a self-adhesive urine collection bag to the perineum.

B.

Insert an indwelling Foley catheter, obtain the sample, and wait for results.

C.

Using a straight catheter, obtain the sample, and immediately remove the catheter without waiting for the results of the urine sample.

D.

Place a sterile cotton ball in the diaper, and immediately obtain the sample with a syringe after the first void.

Answer and Explanation

The Correct Answer is C

A. A urine collection bag may lead to contamination of the sample, which is not suitable for obtaining a sterile specimen.

B. Indwelling Foley catheters are unnecessary for this one-time sample collection and increase the risk of infection.

C. Using a straight catheter is the recommended method to obtain a sterile urine sample in infants. It is minimally invasive, and the catheter is removed immediately after collecting the sample to reduce the risk of infection.

D. Placing a sterile cotton ball in the diaper may result in contamination and does not provide a truly sterile sample.


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Related Questions

Correct Answer is D

Explanation

A. By preschool age, children are expected to follow more complex, multi-step directions, not just one-step instructions.

B. Recognizing oneself in the mirror is an earlier milestone, typically occurring by 18 months.

C. Collecting items like cards or toys is more common in school-aged children, not preschoolers.

D. Associative play, where children interact and play with each other in a shared activity, is typical for preschoolers and reflects social development.

Correct Answer is C

Explanation

A. Bananas are not a significant source of iron; they provide potassium and other nutrients but are not helpful for increasing iron levels.

B. Cucumbers are low in iron and do not contribute to improving iron-deficiency anemia.

C. Tuna fish is a good source of iron, as well as providing protein and omega-3 fatty acids, making it a suitable recommendation for increasing iron in the child's diet.

D. Skim milk is low in iron and excessive dairy can inhibit iron absorption, so it is not advisable for increasing dietary iron.

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