Wilson & Hockenberry: Wong’s Clinical Manual of Pediatric Nursing, 8th Edition: Patient Teaching Guide



Wilson & Hockenberry: Wong’s Clinical Manual of Pediatric Nursing, 8th Edition


Patient Teaching Guide


This section may be photocopied and distributed to families.


Source: Wilson D, Hockenberry MJ: Evolve resources for Wong’s clinical manual of pediatric nursing, ed 8. Copyright © 2012, Mosby, St Louis.



Obtaining a Urine Sample


Children who are 8 years of age and older may be able to obtain the sample by themselves. Tell the child how to clean herself and how to obtain the sample. Help the child if needed. Children under 8 years of age will need your help. Young children may not be able to urinate on request. Use the child’s words and usual place for urinating to obtain the sample if possible. To help the child urinate, have her blow through a straw or listen to running water while you hold the specimen cup. Do not give the child more than one glass of liquid to drink. Large amounts of liquid can affect the result of the urine test. If you think the child does not understand, have her practice one time, then collect the specimen the next time.





Urine Sample for Culture (Boys)


If you are told that a clean-catch specimen is needed, follow steps 1 through 5 for a routine urine sample, then do the following:



6. If paper wipes are provided, use these instead of a washcloth; rinsing is not necessary with the wipes.


7. Wash the tip of the penis with a wipe or soap and water. Rinse well if soap is used. If the child is uncircumcised, pull back the foreskin only as far as it will easily go, then wash and rinse the tip of the penis with a clean part of the washcloth. Make sure the foreskin is pushed back toward the tip after cleaning.


8. Have the child begin to urinate in the potty chair or toilet.


9. Tell him to stop.


10. Have the child begin to urinate into the cup. If he cannot stop the flow of urine, place the urine cup so that you can catch some of the urine.


11. Replace the lid on the cup.


12. Label the cup with the child’s first and last names.


13. Wash your hands with soap and water. Count to 10 while washing, then rinse with clear water and dry with a clean paper or cloth towel.

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Jan 16, 2017 | Posted by in NURSING | Comments Off on Wilson & Hockenberry: Wong’s Clinical Manual of Pediatric Nursing, 8th Edition: Patient Teaching Guide

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