A nurse is preparing to collect a urine specimen from a female infant using a urine collection bag.
Which of the following actions should the nurse take?
Position the opening of the bag over the urethra and the anus.
Place a snug-fitting diaper over the drainage bag.
Apply lidocaine gel to the perineum before attaching the bag.
Stretch the perineum taut when applying the bag.
The Correct Answer is D
A. Incorrect because the bag should only cover the urethral opening. Covering the anus risks contamination of the urine sample.
B. Incorrect because placing a diaper over the bag can dislodge it or prevent proper adhesion. Instead, the bag should remain exposed to adhere well.
C. Incorrect because lidocaine is unnecessary; applying topical anesthetic is not required for urine collection with a bag.
D. When collecting a urine specimen from a female infant using a urine collection bag, the nurse should ensure the perineal area is clean and the skin is dry. Stretching the perineum taut helps the bag adhere properly to the skin around the urethral opening, preventing leaks and contamination of the specimen.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Encourage physical activity as tolerated.
Children with sickle cell disease may need occasional rests from classroom activities but should be encouraged to participate in physical activity as tolerated.
Choice A is wrong because cold compresses are not recommended for pain management in sickle cell disease.
Choice C is wrong because there is no need for a child with sickle cell disease to wear a surgical mask to school.
Choice D is wrong because it is important for children with sickle cell disease to drink water throughout the day to avoid dehydration 1.
Correct Answer is D
Explanation
An increased respiratory rate is a sign of severe dehydration in infants.
Dehydration occurs when an infant loses so much body fluid that they are not able to maintain ordinary function.
Choice A is wrong because hypertension is not a sign of severe dehydration in infants.
Choice B is wrong because increased urine output is not a sign of severe dehydration in infants.
In fact, decreased urine output is a sign of dehydration 2.
Choice C is wrong because a capillary refill of 2 seconds is normal and not a sign of severe dehydration in infants.
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