Which intervention should the nurse use when collecting a urine specimen from an 8-month-old patient?
A) Place a urine collector on the baby just prior to feeding.
B) Wait an hour after a feeding and then apply a collection bag.
C) Wait until the baby voids and attempt to obtain a clean-catch specimen.
D) Place a diaper on the baby; when it is wet then send the diaper to the laboratory.
A
Feedback:
An infant who has not been toilet trained cannot be expected to urinate on command so a collecting device must be attached to the genitalia to collect their next voiding. Most infants void shortly after a feeding, so if the collector is applied just before a regular feeding, voiding will probably result soon afterward. Remove the collector as soon as the infant voids and transfer the specimen to a specimen cup by cutting a bottom corner of the bag. Waiting an hour after a feeding might not produce the needed urine for the specimen. It would be difficult to obtain a clean-catch specimen from a baby. It is inappropriate to send a saturated diaper to the laboratory for a urine specimen.
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