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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","F"]
Explanation
A. Using language that is appropriate for the child’s developmental level helps them understand and feel more comfortable.
B. A stern and authoritative tone can be intimidating and is not conducive to therapeutic communication with children.
C. Touch, when appropriate, can be reassuring to children and helps establish rapport.
D. Getting down to the child’s eye level makes communication more personal and less intimidating for the child.
E. Ignoring nonverbal cues would be detrimental to understanding the child’s feelings and needs.
F. Active listening and validating feelings helps build trust and rapport with the child.
Correct Answer is B
Explanation
A. A soft, squishy ball is safe for infants and can help with tactile exploration and motor skills.
B. A soft, button-eyed stuffed animal may pose a choking hazard if buttons become detached, thus requiring additional guidance on safe toy choices.
C. Colorful rattles are excellent for stimulating an infant’s senses and encouraging grasping and shaking.
D. Cloth books are appropriate for infants, promoting sensory exploration through touch and visual engagement.
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