A nurse is preparing to catheterize a toddler for a urine culture. Which of the following is an appropriate action for the nurse to take?
Explanation & Rationale
A) Donning sterile gloves prior to the procedure is essential to maintain a sterile field and prevent contamination during catheterization. This practice is critical for ensuring the accuracy of the urine culture by avoiding the introduction of bacteria from the environment. B) While EMLA cream can be used to numb the area and minimize discomfort, it is not a required step for catheterization in toddlers and may not always be available or necessary. The primary focus should be on maintaining sterility during the procedure. C) A 12-French catheter may be too large for a toddler, who typically requires a smaller catheter size (usually 8-10 French) to minimize trauma and discomfort. Using the appropriate size is crucial for ensuring a successful procedure. D) Discarding the first 10 mL of urine is not standard practice for urine cultures obtained via catheterization, as the first portion of urine collected is typically the cleanest and most reflective of the bladder contents. For accurate culture results, the initial sample should be collected and sent for testing.