The nurse understands the purpose of desmopressin acetate in the treatment of enuresis in children is to:

increase the production of urine

decrease the production of urine at night

treat urinary tract infections in children

promote bladder control during the day

Answer and Explanation

The Correct Answer is B

A. Increase the production of urine. – Incorrect. The goal of desmopressin (DDAVP) therapy is to reduce urine production, not increase it.

B. Decrease the production of urine at night. – Correct. Desmopressin is a synthetic antidiuretic hormone that reduces nocturnal urine production, helping children with nocturnal enuresis (bedwetting).

C. Treat urinary tract infections in children. – Incorrect. Desmopressin does not have antibacterial properties and is not used for UTIs.

D. Promote bladder control during the day. – Incorrect. Desmopressin is specifically used for nocturnal enuresis, not daytime bladder control issues.

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Correct Answer is C

Explanation

A. Glasgow Coma Scale (GCS) assessment. – Incorrect. The GCS assesses neurological function but does not diagnose the underlying cause of symptoms.

B. RBC count. – Incorrect. A complete blood count (CBC) may be helpful, but it does not confirm meningitis.

C. Cerebrospinal fluid (CSF) analysis. – Correct. A lumbar puncture for CSF analysis is the gold standard for diagnosing bacterial or viral meningitis.

D. Magnetic resonance imaging (MRI). – Incorrect. An MRI may be used for complications but is not the initial diagnostic test for suspected meningitis

A. Use lotion or powder inside the cast to prevent itching B. Ensure the cast remains dry and clean at all times. C. Massage the baby’s foot to improve circulation while the cast is on. D. Remove the cast daily to allow the baby’s skin to breathe.

Correct Answer is B

Explanation

A. "Use lotion or powder inside the cast to prevent itching." – Incorrect. Lotions and powders can increase moisture, leading to skin irritation or infection.

B. "Ensure the cast remains dry and clean at all times." – Correct. Moisture can weaken the cast and cause skin breakdown.

C. "Massage the baby’s foot to improve circulation while the cast is on." – Incorrect. Massage is not recommended as it may interfere with alignment.

D. "Remove the cast daily to allow the baby’s skin to breathe." – Incorrect. The cast must remain on continuously and is only removed by a healthcare provider.

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The nurse understands the purpose of desmopressin acetate in the treatment of enuresis in children is to:

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