A nurse is planning care for an infant who has a prescription for a Pavlik harness. Which of the following actions should the nurse take?

A. While Kegel exercises can be beneficial for bladder control, they are not typically part of conditioning therapy for enuresis.
B. This statement indicates that the conditioning therapy (often involving a bedwetting alarm) is working. The child is waking up and responding to the urge to urinate.
C. Reducing fluid intake is not a recommended approach for enuresis treatment. Adequate hydration is important for overall health and bladder function.
D. While bladder control is important, holding urine for extended periods is not the goal of enuresis treatment. The focus is on waking up and responding to the urge to urinate.

A. During a 24-hour urine collection, all urine produced over the 24-hour period should be collected in a single container. The final specimen (the last urine voided at the end of the 24 hours) should be added to the same container as the rest of the collected urine, not saved separately.
B. For a 24-hour urine collection, there is no need to cleanse the perineum with a povidone-iodine solution before each collection. The focus should be on collecting all urine over the 24-hour period in the designated container. However, proper hygiene practices are important to avoid contamination.
C. The 24-hour urine collection starts after the first void of the day, which should be discarded. The collection begins with the second void and continues until the same time the next day, including the final void. Discarding the first void is essential to ensure that the collection accurately reflects the urine produced over a full 24-hour period.
D. During a 24-hour urine collection, the client should void as needed but collect all urine produced over the 24 hours in the designated container. There is no requirement to void every hour; the key is to ensure that every drop of urine is collected and included in the total 24-hour collection period.