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 D
Explanation
A. Using medical jargon would likely confuse and scare the child.
B. Keeping medical equipment visible might increase anxiety, as young children can become fearful of unfamiliar objects.
C. Separating the child from their parent during the examination can increase fear and resistance, so it is better to keep the parent nearby for reassurance.
D. Allowing the child to role-play with medical equipment helps reduce anxiety, makes the experience more familiar, and increases cooperation during the assessment.
Correct Answer is B
Explanation
A. Descriptive words might be confusing for a 4-year-old and may not accurately capture their experience of pain.
B. The faces pain scale is effective for young children as it uses visual cues that they can relate to, making it easier for them to express their pain level.
C. While observing the child’s behavior can provide insights, it does not give a direct assessment of pain.
D. Rating pain on a scale of one to ten may be difficult for a child this age, as they may not fully understand numerical values.
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