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 B
Explanation
Choice A rationale
Holding the child during assessments may cause distress and is not recommended for children with autism spectrum disorder.
Choice B rationale
Establishing a reward system is an effective intervention for children with autism spectrum disorder as it reinforces positive behaviors.
Choice C rationale
Maintaining extended eye contact can be uncomfortable for children with autism and is not recommended.
Choice D rationale
Engaging in cooperative play may be challenging for children with autism, and structured activities are often more beneficial.
Correct Answer is C
Explanation
Choice A rationale
This is incorrect because the child’s feet should be able to touch the ground comfortably when seated on the bicycle, kbut not necessarily 3 to 6 inches off the ground. Proper seat height is crucial for balance and control.
Choice B rationale
Riding against the flow of traffic is dangerous and increases the risk of accidents. Bicyclists should always ride with the flow of traffic to be more predictable to drivers.
Choice C rationale
Walking the bicycle through intersections is a key safety measure to prevent accidents. It ensures that the child is more visible to drivers and reduces the risk of collisions.
Choice D rationale
Keeping the bicycle at least 3 feet from the curb is not a standard safety recommendation. Instead, children should ride as close to the curb as safely possible, following the flow of traffic.