This is Julies History: Julie is a

This is Julies History: Julie is a 45-day old infant who presents to the emergency department with a fever of 102.2°F (39°C). She is lethargic and not feeding. Julie’s skin is warm and dry to touch, and the fontanels are sunken. There is no apparent source of the fever. They have no significant past medical history. Julie is not on antibiotics at this time and has not received any recent immunizations. Julie has not had a seizure. Julie’s parents report that their other child had not been ill, but Julie’s uncle is a hospice nurse and may have been exposed to something before visiting the family three days before the fever started.​ Provider Orders: ​ complete blood count with differential​ blood culture​ procalcitonin​ urinalysis and urine culture : Julie’s parents declined the straight catheterization for a urine specimen. What is the best action the nurse should take next? Use a different evidence-based guideline which does not include the required test.​ Discuss the reason catheterization is needed and answer their questions.​ Obtain a urine culture by expressing urine from Julie’s diaper.​ Document the refusal, including any reason provided.​

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