A nurse is providing instructions about a 24-hr urine collection to an adolescent client. Which of the following should the nurse include in the teaching?

Save the final specimen in a separate c

Cleanse the perineum with a povidone-

Discard the first voided specimen.

Void every hour

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is A

Explanation

A. Many children with autism respond well to structured reward systems. This can help motivate desired behaviors and reduce challenging ones.
B. Children with autism often have sensory sensitivities. Holding them during assessments might cause anxiety or distress. It's important to respect their personal space and allow them to feel comfortable.
C. Many children with autism find eye contact overwhelming. Focusing on other communication cues and respecting their comfort level is more appropriate.
D. Cooperative play can be challenging for children with autism, who often prefer solitary or parallel play. It's important to respect their play preferences and provide opportunities for enjoyable activities.

A. "You will only feel a little stick." B. "If you don't cry, you can pick out a prize." C. "This medicine will fix you to make you feel better." D. "You can choose which leg you get your medicine in or 2 weeks."

Correct Answer is D

Explanation

A. This statement is appropriate for a 3-year-old. It uses simple language to explain the injection in a way that minimizes fear. Describing the injection as a "little stick" helps to convey that the sensation will be brief and not too painful, which can help reduce anxiety about the procedure.
B. This statement is not advisable because it can place undue pressure on the child to avoid expressing their feelings of discomfort. Additionally, it can create a sense of conditional reward rather than focusing on the purpose of the injection and making the experience more positive.
C. While this statement is well-intentioned, it might be too vague for a 3-year-old. Children at this age may not fully understand the concept of "feeling better" or the purpose of the medication. It is better to use simple and specific language that relates directly to the procedure rather than the outcome.
D. This statement is not appropriate because it offers a choice that is not feasible or relevant to the
child’s immediate situation. For a 3-year-old, the decision about which leg to use is typically made by the healthcare provider based on clinical considerations.

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A nurse is providing instructions about a 24-hr urine collection to an adolescent client. Which of the following should the nurse include in the teaching?

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