A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicate the treatment is effective?
"My child held their urine for about 15 minutes before going to the bathroom."
"My child has been drinking a lot less since they started treatment."
"My child went to the bathroom two times when the alarm went off last night."
"My child has been doing Kegel exercises to strengthen their pelvic muscles."
The Correct Answer is C
A. Holding urine for extended periods may indicate urinary retention, which is not the desired outcome of treatment for enuresis.
B. Drinking less may not necessarily indicate treatment effectiveness and could lead to dehydration.
C. Waking to urinate in response to the alarm indicates improved bladder control and responsiveness to conditioning therapy for enuresis.
D. Kegel exercises primarily target pelvic floor muscles and may not directly address the underlying causes of enuresis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. The child's throat pain is expected post-tonsillectomy and can be managed using analgesics or an ice collar. However, this is not a priority finding compared to frequent swallowing which may indicate bleeding which is a life-threatening complication of tonsillectomy.
B. Refusing clear liquids may indicate discomfort but is not as urgent as a potential increase in throat pain.
C. Crying often may be a response to discomfort but does not necessarily indicate a complication requiring immediate intervention.
D. This assessment finding indicates that the child might have bleeding in the throat, which is a life-threatening complication of tonsillectomy. The nurse should
Correct Answer is B
Explanation
A. Injecting the immunizations into the deltoid muscle may be appropriate for older children or adults but not for infants.
B. Providing a pacifier coated with an oral sucrose solution has been shown to reduce pain and distress during injections in infants, promoting atraumatic care.
C. A 20-gauge needle may cause more pain and tissue trauma in infants compared to a smaller gauge needle.
D. EMLA cream is not typically recommended for immunizations in infants as it requires time to take effect and may not provide adequate pain relief during the procedure.
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