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?

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

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

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

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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Correct Answer is B

Explanation

A. Engaging the child in art therapy may provide a distraction, but it does not directly address the child's emotional needs at that moment.

B. Providing a favorite toy or comfort object helps the toddler feel secure and comforted, alleviating anxiety and fear from parental absence.

C. Explaining when the parents will return may not be effective since toddlers have difficulty understanding time concepts, which might not alleviate their distress.

D. Encouraging imaginative play could distract the child, but it may not provide the immediate comfort needed to address their feelings of withdrawal and sadness.

A. Demonstrations of sexual curiosity B. Imaginary playmates C. Negative behaviors characterized by the need for autonomy D. Erikson's stage of initiative versus guilt

Correct Answer is C

Explanation

A. While toddlers may show curiosity about bodies, this is not a defining characteristic of this developmental stage.

B. Imaginary playmates are more typical of preschoolers rather than toddlers, who engage more in parallel play.

C. The toddler stage is characterized by negative behaviors as children assert their autonomy, often expressing frustration through tantrums or defiance.

D. Erikson's stage of initiative versus guilt occurs during the preschool years, not in toddlers, who are in the stage of autonomy versus shame and doubt.

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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?

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