A nursing student caring for a 6-month-old infant is asked to collect a sample for urinalysis from the infant. The student collects the specimen by:

1. Attaching a urinary collection device to the infant's perineum for collection
2. Catheterizing the infant using the smallest available Foley catheter
3. Obtaining the specimen from the diaper by squeezing the diaper after the infant voids
4. Noting the time of the next expected voiding and preparing to collect the speci-men into a cup when the infant voids


1

Rationale: Although many methods have been used to collect urine from an infant, the most re-liable method is the urine collection device. This device is a plastic bag that has an opening lined with adhesive so that it may be attached to the perineum. Urine for certain tests, such as specific gravity, may be obtained from a diaper by collection of the urine with a syringe. Urinary cathe-terization is not to be done unless specifically prescribed because of the risk of infection. It is not reasonable to try to identify the time of the next voiding to attempt to collect the specimen.

Nursing

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