A nurse is teaching the guardian of a 5-year-old child who has encopresis about management of the condition.
Which of the following statements by the guardian indicates an understanding of the teaching?
I will limit my child's fluid intake
I will increase my child's dairy intake
I will have my child sit in the toilet for 20 minutes at a time
I will have my child try to defecate 15 minutes after each meal .
The Correct Answer is D
Choice A rationale
Limiting a child’s fluid intake is not recommended for managing encopresis. Adequate hydration is important for preventing constipation, which is often associated with encopresis.
Choice B rationale
Increasing a child’s dairy intake is not typically recommended for managing encopresis. Some dairy products can contribute to constipation in some children.
Choice C rationale
Having a child sit on the toilet for 20 minutes at a time is not typically recommended. Prolonged sitting on the toilet can cause discomfort and create a negative association with bowel movements.
Choice D rationale
Having a child try to defecate 15 minutes after each meal is a common recommendation for managing encopresis. This takes advantage of the natural increase in colon activity following meals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While it’s important for individuals with diabetes to monitor their cholesterol levels, a cholesterol level of 189mg/dl is within the acceptable range for most people.
Choice B rationale
Glycosuria, or sugar in the urine, can be a sign of poorly controlled diabetes. However, it’s not typically used as a primary indicator of diabetes control.
Choice C rationale
An HbA1c level of 11.5% is significantly higher than the target range of less than 7% for most adults with
diabetes. This suggests that the individual’s blood sugar levels have been much higher than the target range for the past 2 to 3 months17.
Choice D rationale
A pre-prandial (before meal) blood glucose level of 124mg/dL is slightly higher than the target range of 70- 130mg/dL. However, it’s not as concerning as an HbA1c level of 11.5%.
Correct Answer is A
Explanation
Giving water after administering digoxin helps ensure that the medication is swallowed and reaches the stomach, which is important for proper absorption.
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