Difficulty: Medium
Average Score: 91%
Simulated
The nurse is preparing to collect a urine specimen from the female infant. Prioritize the steps that the nurse should take to apply a urine-collection bag and collect the urine specimen from a female infant.
Correct answer
B,E,A,D,C
Rationale
The correct order is: B (Explain the procedure to the parents, prepare supplies, and position the infantÔÇôteaching and gathering supplies should be completed prior to performing the procedure to place the parent and infant at ease), E (Cleanse and dry the perineum and apply the adhesive portion of the collection bagÔÇôthe perineum needs to be cleansed and dried to ensure that the sample is not contaminated and that the adhesive sticks to the infant's skin), A (Check that the bag adheres firmly around the perineal areaÔÇôadherence to skin is necessary to prevent urine leakage), D (Carefully replace the diaperÔÇôthe diaper will help to hold the collection bag in place), C (Check the bag frequently and remove as soon as the specimen is availableÔÇôif a too full bag is left in place, it will begin to leak urine. Urine on the skin can be irritating).