An infant has poor feeding, fever, and malodorous urine. The parents do not want the nurse to catheterize the child. Which response by the nurse is the most appropriate?
A.
Apply a urine collection bag on the baby.
B.
Explain how this procedure obtains the best results.
C.
Give the baby acetaminophen (Tylenol) for fever.
D.
Inform the health-care provider of the refusal.
ANS: B
Parents can be understandably distraught at the thought of their baby having an invasive procedure. The nurse should ensure that the parents understand why the catheterized urine sample or a suprapubic aspirated urine sample is the best choice for obtaining the most accurate urinalysis results. If the parents still refuse, the nurse should document their refusal, inform the provider, and apply a collection bag. The nurse should also treat the baby's fever with acetaminophen, but this option is not directly related to the question.
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