A nurse is providing instructions about a 24-hour urine collection to an adolescent client. Which of the following should the nurse include in the teaching?
Discard the first voided specimen.
Void every hour.
Save the final specimen in a separate container.
Cleanse the perineum with a povidone-iodine solution prior to voiding.
The Correct Answer is A
Choice A rationale
The first voided specimen is discarded to ensure that the 24-hour urine collection starts with an empty bladder and accurately reflects the urine produced over the entire period.
Choice B rationale
Voiding every hour is not necessary and may not be practical for a 24-hour urine collection.
Choice C rationale
The final specimen should be included in the same container as the rest of the 24-hour urine collection.
Choice D rationale
Cleansing the perineum with a povidone-iodine solution is not required for a 24-hour urine collection.
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Correct Answer is C
Explanation
Choice A rationale
Having their cell phone visible and diverting the eyes to check messages is not an effective nonverbal technique for enhancing the importance of education. It can be distracting and may convey a lack of interest or attention to the client.
Choice B rationale
Crossing arms over the chest and avoiding eye contact can be perceived as defensive or disinterested body language. It does not enhance the importance of education and may create a barrier to effective communication.
Choice C rationale
Smiling, nodding, and touching the client’s hand are positive nonverbal techniques that can enhance the importance of education. These actions convey warmth, empathy, and attentiveness, making the client feel valued and understood.
Choice D rationale
Leaning gently over the back of a chair with legs crossed can be perceived as casual or relaxed body language. It does not convey the importance of the education being provided.
Correct Answer is A
Explanation
Choice A rationale
The first voided specimen is discarded to ensure that the 24-hour urine collection starts with an empty bladder and accurately reflects the urine produced over the entire period.
Choice B rationale
Voiding every hour is not necessary and may not be practical for a 24-hour urine collection.
Choice C rationale
The final specimen should be included in the same container as the rest of the 24-hour urine collection.
Choice D rationale
Cleansing the perineum with a povidone-iodine solution is not required for a 24-hour urine collection.