Which is an important nursing consideration when performing a ...

[a0266361136]

Which is an important nursing consideration when performing a bladder catheterization on a young boy?
 
  a. Clean technique, not standard precautions, is needed.
  b. Insert 2 lidocaine lubricant into the urethra.
  c. Lubricate catheter with water-soluble lubricant such as K-Y Jelly.
  d. Delay catheterization for 20 minutes while anesthetic lubricant is absorbed.

Question 2

Frequent urine testing for specific gravity and glucose are required on a 6-month-old infant. Which is the most appropriate way to collect small amounts of urine for these tests?
 
  a. Apply a urine-collection bag to perineal area.
  b. Tape a small medicine cup to inside of diaper.
  c. Aspirate urine from cotton balls inside diaper with a syringe.
  d. Aspirate urine from superabsorbent disposable diaper with a syringe.

[dmurph1496]

Answer to Question 1

ANS: B
The anxiety, fear, and discomfort experienced during catheterization can be significantly decreased by preparation of the child and parents, by selection of the correct catheter, and by appropriate technique of insertion. Generous lubrication of the urethra before catheterization and use of lubricant containing 2 lidocaine may reduce or eliminate the burning and discomfort associated with this procedure. Catheterization is a sterile procedure, and standard precautions for body-substance protection should be followed. Water-soluble lubricants do not provide appropriate local anesthesia. Catheterization should be delayed 2 to 3 minutes only. This provides sufficient local anesthesia for the procedure.

Answer to Question 2

ANS: C
To obtain small amounts of urine, use a syringe without a needle to aspirate urine directly from the diaper. If diapers with absorbent material are used, place a small gauze dressing or cotton balls inside the diaper to collect the urine, and aspirate the urine with a syringe. For frequent urine sampling, the collection bag would be too irritating to the child's skin. It is not feasible to tape a small medicine cup to inside of diaper; the urine will spill from the cup. Diapers with superabsorbent gels absorb the urine, so there is nothing to aspirate.

[a0266361136]

Thank you

[dmurph1496]

Happy to help you