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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E"]
Explanation
A. At 2 years old, toddlers typically have a vocabulary of about 50 words, not just 20.
B. Associative play begins around the age of 2, where toddlers play alongside other children and may start to engage with them, sharing toys and ideas.
C. While 2-year-olds can drink from a cup, this milestone is more typically expected earlier, around 12-15 months.
D. By 2 years, most toddlers walk independently, but this is more of a milestone for younger toddlers (around 12-15 months).
E. Feeding themselves with a spoon is an expected milestone for 2-year-olds, as they start to develop more independence in self-feeding.
Correct Answer is A
Explanation
A. Mixing medication with a full bowl of baby food can make it difficult to ensure the child consumes the entire dose, potentially reducing the medication's effectiveness.
B. Administering medication using the nipple of a bottle can be an effective method for toddlers who resist taking it from a spoon or syringe.
C. Offering a frozen juice bar after medication helps soothe the taste and provides comfort.
D. Providing comfort and cuddling after medication encourages a positive association with taking medicine.
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