Author Question: Frequent urine testing for specific gravity and glucose are required on a 6-month-old infant. The ... (Read 77 times)

bobthebuilder · **on:** Jun 28, 2018

Frequent urine testing for specific gravity and glucose are required on a 6-month-old infant. The most appropriate way to collect small amounts of urine for these tests is to:

a. Apply a urine-collection bag to the perineal area.
b. Tape a small medicine cup to the inside of the diaper.
c. Aspirate urine from cotton balls inside the diaper with a syringe.
d. Aspirate urine from a superabsorbent disposable diaper with a syringe.

Question 2

An important nursing consideration when performing a bladder catheterization on a young boy is to:

a. Use clean technique, not Standard Precautions.
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.

mcarey591 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

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. Taping a small medicine cup to the inside of the diaper is not feasible; the urine will spill from the cup. Diapers with superabsorbent gels absorb the urine, so there is nothing to aspirate.

Answer to Question 2

ANS: B
The anxiety, fear, and discomfort experienced during catheterization can be significantly decreased by preparing the child and parents, selecting the correct catheter, and using appropriate insertion technique. 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 only 2 to 3 minutes. This provides sufficient local anesthesia for the procedure.