Author Question: Prior to obtaining a clean-catch specimen from a 4-year-old, the nurse could best get the child to ... (Read 42 times)

abarnes · **on:** Jun 27, 2018

Prior to obtaining a clean-catch specimen from a 4-year-old, the nurse could best get the child to comply by:

a. Telling the child to void in the cup
b. Using the term the child uses for urination in explanations
c. Gently washing the perineum, holding the cup in place, and asking the child to void
d. Catheterizing the child

Question 2

The nurse is caring for a newborn who was born after a long labor. Because of the length of labor, the nurse is alert for signs of intracranial hemorrhage, which would include: (Select all that apply.)

a. Forceful vomiting
b. High-pitched shrill cry
c. Strabismus
d. Inability to move normally
e. Equal pupils

javimendoza7 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
The child will not understand what a clean-catch urine specimen is, so the nurse should explain to the child what is needed. The nurse should discover what term the child uses for urination, because the other terms may also be meaningless. Catheterization is unnecessary.

Answer to Question 2

A, B, D
Forceful vomiting, shrill cry, and inability to move normally would be clues to a possible hemorrhage. All babies are strabismic, and equal pupils are not an indicator of hemorrhage.